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REQUIRED SUBMITTALS: <br />All of the following information must be submitted by the application ·deadline date in order for your <br />application to be processed. <br />Not <br />Enclosed Applicable <br />D D Escrow Aqreement siqned <br />D D Escrow received <br />D D Pre-Application Form <br />D D Aoolication Form <br />D D Practical Difficulties Documentation <br />D D Certlfi.ed. ProRertv Owners List . <br />D D Survev (meetina ALL reauirements) <br />D D Proposed Plans <br />D □. Hardcover Calculation(s) <br />D A -Septic System Site Evaluation Reoort <br />D ~ Wetland Delineation <br />D !J"'..., Wetland Buffer Evaluation <br />D ~ Buffer Improvement Plan <br />D D <br />APPLICANT AND/OR OWNER: <br />• Agree to provide all information required or requested by the Planning Department, <br />• Agree to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses <br />incurred in review of this application, and <br />• Certify that the information supplied is true and correct to the best of his/her 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 staff has no alternative but to reject it until it is complete or to <br />recommend the request for denial of the request regardless of its potential merit. <br />• Acknowledge the Escrow Agreement is completed and 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 />inve$tigc;1tion c;1nd verificc;1tion of thi$ reque$t. <br />• Applicant and/or Owner acknowledge they must be present at all scheduled review meetings of the <br />Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting, <br />please make arrangements to have an authorized represenJative attend in place of the applicant/owner and <br />advise the City Planner assigned t p ject. <br />Applicant's Signature: Date: \1 :f1.2L.-t <br />Applicant's Signature: Date : <br />Owner's Signature : 4-Q.L Date: lJ-((ut--i <br />Owner's Signature: Date: <br />Variance Application Updated : January 31, 2012 <br />-14 - <br />#3567 <br />JOI~ <br />c)Ol,;) <br />RECEIVED <br />JUL 1 7 2012 <br />CITY OF ORO NO