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REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date i� order for your <br /> application to be processed. <br /> Enclosed 'p cable � .: t �_�. ` . . . .-. >'- . . �.. _ , <br /> i O Variance A lication Fee <br /> Ci . fscrowA raeeri�ent,si r�ed artd`�'ee - <br /> ❑ Pre-A lication Form <br /> t� W�riance licr�tion Form <br /> ❑ Practical Difficulties Form <br /> � Ce►�#Ified Pro fl�vners List " <br /> ❑ O Surve meetin ALL re uirements <br /> ' , C3 Pro o,sed Plans <br /> O Hardcover Calculations <br /> �] Cl . Se tic� m Si�e Evah��tbon Re � _ <br /> ❑ O Minnehaha Creek Watershed District(MCWD) Permit or <br /> f Documentation from MCWD statin no ermit is re uired <br /> �3 A�'acent Pro Ov�mers Acktaavvlsd ement : <br /> � ❑ Data Privac Adviso Form <br /> APPLICANT ANDJOR OWNER: ' <br /> • Agree to provide all Irtiformation required or requested by the Planning Depar#ment, <br /> • Agree to pay additional fees {staff time not covered in the original fee payment) a�il/or consultant expenses <br /> incurred in review of this application, and <br /> • Certlfy that the information supplied is true and correct to the best of his/her knawledge. The applicant and <br /> owner recognize that they are solely responslbls for submitting a complete application being aware <br /> that upon failure to do so, the staff has no alternative but to reject It untll tt is complete or to <br /> recommend #he rec�uest for denial of the request regardless of its potential merit. <br /> • Acknowledge the Escrow Agreement is campleted and signed. <br /> • The Owner hereby acknowledges and agrees to this application and turther authonzes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of <br /> investlgation and verification of this request. <br /> • Appllcant and/or Qwner acknowledge they must be preserrt at all scheduled review meetings of the <br /> Ptanning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting, <br /> please make arrangements to have an authorizet! representative attend m place of the applicanUowner and <br /> advlse the City Pianner assigned to your project. . <br /> Applicarrt's Signature: � Date: �r r�/'���`S� <br /> Applicant's Signature: � Date: <br /> � <br /> Owner's Signature: Date: � r��a6�� <br /> Owner's Signature: Date: ��CEIV�D <br /> MAY 2 0 �015 <br /> �t'�Y OF ORONO <br /> Pacicef Lest Updated� January 2015 <br /> Page 12 <br /> "!7"' � � L.i � <br />