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RE4UfRED SUBMIT7ALS; <br /> Afl of the foAowing informa�ion must be subm'rtted by the a�p!"icatbn deadGne date tn orrler far your <br /> a�lication to be processed. <br /> - • Not .. . . , - . - . . . . . . - . - . ._ . <br /> Enclosed A ticable <br /> ❑ Varianr.e ic2tian Fee <br /> � Escrow A reemant s and Fee . . . � � <br /> � . � .. , P O�� sit �.# .� .- - <br /> - ..Variance A IicaHon Form .. <br /> D� L7 Practical Oif�curties Farcn <br /> ��� Certifred Aro Oymers List . - <br /> �. t7 . Surve meetin ALL uiremer�ts <br /> ' •� � p osed Pians . . . <br /> 0 dac�a,�er Calculatione , � .. • <br /> ,. ••: p .. ::.;. 1ic S tem Site Evaluatlon R � .. . <br /> � � Minnehaha Creek Watershed D�strict(MCWD)Permit or 1 <br /> �I� Documentation from MCWO atann no rmd a uired <br /> ��� . '';.:•� Ad�acent Pro Owners Acknowled ent <br /> 0 Data Prnrac Adviso Form ' <br /> �t,.�c�r anrwoR owN�t: <br /> � �ce to provide afl irtfpmatfon required or re�ed tiY�e Plmnning O�r�e�. <br /> • A9'r�e ta PeY add�ional fees(staff time nd oovered in the orl0inal fee payrr�eni)�/o������s <br /> inctxred in nBview of H�is application,and <br /> • Certify thet the infcrrr�atia�suppl'�ed is bue and corred�o the beat ot hiafier knowledge. �he�pplicaM and <br /> owner r�sco�nlze that they are solsly respo�ibt�br submitiing a complets applf�ion being a�ware <br /> that upon fallure to do so, the stslf haa no altemative but to rejeat it tu►til it is cotnple�a or to <br /> r+�omme�i the requast for denial of the reqaest�apudless of its potsnHa!mer[L <br /> • Acknaw[edge the Escrow Apreerr�er�I�oompie�ted and�igned. <br /> � The Owner hereby adcnowkdges and agrees b this epplk,ation and fu�ther auttwriz�ss�easonabl��,o� <br /> 1he D�Y bY �Y Staif, oonsultants, �enta. Conxniesion erxf Council Membe�s fa P�P�ses af <br /> invtstigatlon end veriFicatiore af thia request. <br /> . Appilcant a�tflw Ownar acknawledge they must be prosent at alt sdrsduled r�wFew rt�e�ngs of the <br /> Planning Cann�lssion snd Cauntll. �f an applfcant and/or owner is unable ta attend a scheduled meeting, <br /> pteass make arrangements to have an eutharized oepr+esent�ive attend M p�aCe of the applicar�tlowner and <br /> advtse ihe Cityr Planner assigne�l to your project. <br /> �/�I��l��n/Vv�'� <br /> AppNcaat's Signature: Date: 4.20.15 <br /> For Chatnbe�tain Capitat LLC <br /> AppUcaM's Signature: p�: <br /> Owner's Signature: `� paye: A.21.1 S <br /> Owne�s Signat�e: �te: 4.21.1 S <br /> BRYA K&RYNELL�REEI,AND <br /> RECEdVE� <br /> PadtetLtstlya0ib�JanurryT0i3 <br /> �°'� APR z z Zo�S <br /> �17Y OF ORONO � � � � � <br />