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REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your application to <br /> be processed. <br /> iVot <br /> Enclosed A plicable . <br /> ❑ ❑ Land Use & Conditional Use Permit Fees <br /> ❑ tI Escrow A reement,si ned and fee <br /> ❑ ❑ Pre-A plication Form <br /> �1 O Land Use&Condi#iQnal Use Permit lication <br /> ❑ ❑ Certified Pro ert Owners List <br /> p Surv� me�ti� Ai..t.re uirements <br /> ❑ ❑ Pro osed Plans <br /> p O Hardcover Calcutations <br /> ❑ ❑ Se tic S stem Site Evaluation Report <br /> ❑ � Minnehaha Creek Watershed District{MCWD)approval or <br /> Documentation from MCWD statin no rmit is re uired <br /> ❑ ❑ Ad�acent Pro ert Owners' Acknowled ement <br /> p ❑ Starmwater Pc�llutian Preventipn Plan SWPPP <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 eonsultant expenses <br /> incu�red in review of this application, and <br /> • Certify that the informatior� 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 applicatiorr 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 complefed and signed. � � .. � <br /> • The Owner hereby acknowledges and agrees to ihis application and.fr�rther authocizes'reasonable entry onto <br /> the property by City Staff, consultants, agents, �ommission, �nd Gouncil Members fs�r purposes of <br /> investigation and verification of this request. . , ' ; ' " <br /> • Owner and/or Applicant 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 project. <br /> Owner's Signature: Date: <br /> Owner's Signature: Date: <br /> ApplicanYs Signature: Date: T��/�1� <br /> Applicant's Signature: Date: <br /> Packet Last Updated: January 2015 � �� �� <br /> r�, �• ;*' Page 12 <br /> >� 0 �• <br />