Laserfiche WebLink
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 /> . Wo# : -, , <br /> Enclosad, ApPiicable ��• _, : , . . _. . . • _� _ . . ... . <br /> ❑ Variance lication Fee <br /> � Escrow A reem�ent, sl ned and Fee. <br /> ❑ Pre-A lication Form <br /> ❑ V�riance lication Far�n <br /> ❑ Practicaf Difficulties Form <br /> d Certifi�cl Pro e Owne�s List . <br /> ❑ Surve meetin ALL re ufrements <br /> : �l Pro osed Plans . <br /> O , Hardcover Calculations <br /> Cl. Se tic S tem Site Evaluat�on Re <br /> ❑ 0 Minnehaha Creek Watershed District(MCWD) Permit o� �� �'H'�"� " T'� <br /> Documentation from MCWD statin no ermit Is re uired p'���r� -cecce,��r/oyjr <br /> � . � Ad'acent Pro 4wr�ers Adcnowl ement yc ce .�1 <br /> � Data Privac Advisor Fomi <br /> APPLICANT AND/OR OWNER: <br /> • Agree to provide all information required or requested by the P�anning 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 irtformation supplied is true and correct to the best of hislher knowledge. Ths applicant and <br /> owner recognize that they are salely responslble for submltting a complets applicatlon being aware <br /> that upon failure to do so, the staff has no alternative but to reject It untll lt is complete or to <br /> recommend the request for denial of the request regardless of its patentia! merlt. <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 Councll Members for purposes of <br /> Investigation and verif'�cation of this request. <br /> • Applicant and/or Owner acknowledge they must be present at all scheduled revfew meetings of the <br /> Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduied 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 pro�ect. <br /> r <br /> AppEicant's Signature: Date: �C, <br /> Applicant's Signature: Date: <br /> Owner's Signature: Date: <br /> �ECEI <br /> Owne�s Signature: U-1 Date: y�l�s <br /> APR 2 2 2015 <br /> CIT1(pF ORONO <br /> Packet Lasf Updated.• Jenuary 2015 <br /> Page 12 <br /> � 3733 <br />