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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 j <br />id" □ Variance Application Fee I <br />~ ... □ Escrow Aareement, siqned and Fee <br />~ □ Pre-Application Form I <br />CD./ □ Variance Aoolication Form <br />IP"'..' □ Practical Difficulties Form <br />la" □ Certified Prooertv Owners List <br />liJ""'. □ Survey (meeting ALL requirements) I <br />[]/',.,,. □ Prooosed Plans <br />GV' □ .,,, Hardcover Calculations <br />□ ijJ/" Seotic Svstem Site Evaluation Reoort <br />~/ <br />□ Minnehaha Creek Watershed District (MCWD) Permit or <br />Documentation from MCWD statinq no permit is required <br />llY ,,,.. □ Adiacent Prooertv Owners Acknowledqement <br />(Il./' □ Data Privacy Advisory Form I <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 />investigation and verification of this request. <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 representative attend in place of the applicant/owner and <br />advise the City Planner assigned to your oject. <br />Applicant's Signature: <br />Applicant's Signature: <br />Owner's Signature: <br />Owner's Signature : --==--------------- <br />Packet Last Updated: January 2015 <br />Page 12 <br />Date: <br />Date: r , <br />Date: <br />Date: <br />3746 <br />RECEIVED <br />MAY 2 0 2015 <br />CITY OF ORONO