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� <br /> REQUIRED SUBMITTALS: <br /> A[I of the following information must be submitted by the application deadline date in order for your <br /> application to be processecE. <br /> Not . -. : � rA ;� ; r , :-. <br /> Enc�osed APpficabie �... J.�i . .� . . . . �. )F • . .. . � � � :ya � ��r. � ... .�:�: <br /> ❑ ❑ Variance A lication Fee <br /> D �J Escrow reement.si ned and Fee <br /> O ❑ Pre-A iication Form <br /> L7 Variance icalior�Fixm _ <br /> ❑ O Practical Difficulties Form <br /> p O Get�ifk3d Pro ers last . - <br /> O ❑ Surve meetin ALL requirements <br /> CI -D P �ed PJans <br /> C3 ❑ Hardcover Calcuiations <br /> fl :L] Se tic S tem Site�v�liia�or�'�te". � <br /> ❑ � Minnehaha Creek Watershed District(MCWD) Permit or <br /> Documentation from MCWD statin no ermit is re uired <br /> �1 E7 Atl'acent Pro �nme��wfed iernent . . —... � <br /> ❑ ❑ Data Privac Adviso Form <br /> APPLICANT AND/OR OWNER: <br /> . Agree to provide all information required or requested by the Planning Department, <br /> • Agree to pay addftional fees (stafF time not covered in the original fee payment) and/or consultant expenses <br /> incurred in review of this applicatian, and <br /> • Certiiy that the information supplfed 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 applicatfon being aware <br /> that upon failure to do so, the staff has no akernative but to reject it until it is complete or to <br /> recommend the request for denlat of the request regardless of its.potential meri#. <br /> • Acknowledge the Escxow Agreement is completed and signed. <br /> . The Owner hereby acknowledges and agrees to thls 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,�wner acknowledge they must be present at all scheduled review meetings of the <br /> Planning Commission and Councfi. If an applicant and/or owner is unabie to attend a scheduled meeting, <br /> please make arrangemen#s�to have an authflrized representative a.ttend in place of the applicanUowner and <br /> advise the City Planner assi ned to ur roject. <br /> Applicant's Signature: Date: ���' ��' <br /> ApplicanYs Signature: Date: <br /> pwner's Signature: Date: ���� �S � <br /> Owner's Signature: Date: �"t� �` �� <br /> RECi��VED <br /> Packet Last Updated Januery 2016 AP� 2 Z ZO�� <br /> Page12 � � �] � � t � . <br /> 5•� <br /> 1 - cmr oF oRONo <br />