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4565 Bayside Road - 06-117-23-21-0010 - New PID
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15-3794, VAR
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Submittal
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Last modified
11/13/2025 2:41:55 PM
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REQUIRED SUBMITTALS: <br />All of the following information must be submitted try the application deadline date in order for your <br />appfication to be processed. <br />APPLICANT AND/OR OWNER: <br />• Agree to provide all information required or requested by the Planning Department, <br />• Agree to pay additlonal fees (staff time not covered in the original fee payment) anal consultant expenses <br />Incurred in review of this application, and <br />• Certify that the information supplied is true and correct to the best of hlslhw knowledge. The applicant and <br />owner recognize that they are solely responsible for submitting a complete application being aware <br />that upon failure to do so, the all has no alternative but to reject it until it is complete or to <br />recommend the request for denial of the request ragardless of its potential merit <br />• Acknowledge the Escrow Agreement is ccmpleled anti signed. <br />• The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto <br />the property by City Staff, consultants, agents, Commission and Council Members for purposes of <br />investigation and verification of this request <br />• Applicant and/or Owner acknowledge they must be present at all scheduled review meaffngs of the <br />Planning Commission and Council. If an applicant andlor owner Is unable to attend a scheduled meting, <br />please make arrangements to have an authorized representative attend in place of the appticantlovmr and <br />advise the City Planner assigned to your <br />�pmjact. <br />Applicant's Signature: � fb 4 Date: /0 �Z I- h <br />Applicant's Signature: <br />Owners Signature: <br />Owners Signature: <br />ArKiCA"T SwFMTi,RE <br />Packet Leaf L"Wed: Asyut 2015 <br />2 ,Date: Jo- a f , /S' <br />Date: f1)-xf-r5 <br />Date: <br />�RECEIWIY low ZI • IS <br />pveQgT �1 2015 <br />CVCWORONO # 37 94 <br />
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