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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 /> , <br /> Not _ � - _ <br /> Enclosed p►PPlicable : <br /> ❑ ❑ Variance A lication Fee <br /> p ❑ Escrow A reement,s' ned�nd Fee . <br /> ❑ ❑ Pre-A lication Form <br /> C7 D Vanance icati+an Form <br /> ❑ ❑ Practical Difficulties Form <br /> Cl ❑ Certified Pro Owners Ust ` - � <br /> ❑ ❑ Surve meetin ALL requirements <br /> p C� Pra d Plans <br /> ❑ ❑ Hardcover Calculations <br /> �'1 Se tic S stem Sits Ev,�1ua#ioi�Re . rt . . <br /> ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or <br /> Documentation from MCWD statin no ermit is re uired <br /> t7 !7 ' Ad'acent Pro e �Owrter�Ackr�avvle e+�ent •�. ` <br /> ❑ ❑ Data Privac Advisor Form <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 applicanUowner and <br /> advise the City Planner assigned to your project. <br /> Applicant's Signature: ��,,��,N ��u,� Date: ���L l �o� <br /> Applicant's Signature: Date: <br /> Owner's Signature: Date: <br /> Owner's Signature: Date: <br /> Packet Last Updated: January 2015 <br /> , r-,, �K- �... ,� Page 12 <br /> � i � # 3728 <br /> � r'� �:,. <br /> t` ''� i , 1 r <br /> ,y,J <br />