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REQUIRED SUBMITTALS: <br /> Afl of the folbww��g irffarma�on must be submltteci by tha �pplicatfan deadUne da�e in order for your <br /> applicattion to be proc�essed. <br /> �� �� 11�` i : - 4 .. , } a�� .. <br /> �� +�r7Y�.-i��-�-d'T..��� B � i'' f J •� �1.�d���l1'.s�.J� � L <br /> , . ..._...___ .. . . '.. ,.._. ... .e w ..._ .. ._ . . c. , � ' ., --' . ., e..� <br /> �- ❑ Var€ance A licsatton Fee <br /> �: - L�� c►�_""�n►'7A�`��1i,: F"�e:e;,=x a�,�-�-��" ,,�-� { �:s -.;�-. <br /> ❑ Pre A cation Form <br /> �:' .���` �'� N�tf.r��F�;�. � 'r"$ `� ..�"�. � �;,� h`"�� <br /> O Precblcai Difticulties Form <br /> ' Qr. �i:�8� fU� ..�T.$i�,S_� 1"I:�. , ' r_ - °.� . <br /> o r• <br /> D Surve meeUn ALL rse uiremsnts <br /> . . � �!� e. ..��. r .... �eh "�7.�: .0 R . . . -i-+rr -a• <br /> ' 'c�. ��. .Pla� ` � ti���x ;7.. -.;:. <br /> C� hardooverCalt�fe#lons <br /> �. . � .. _ ,Cti, 4 _ ,�,_.,_, <br /> ❑ L7 M(nnehaha Creek Wat.erst�d Disbict(f�CWD)Petmit or <br /> Daximente6on from MCWp stat+n no it is ulred <br /> T3 -. ,f:7. �f' ""f <br /> � : <br /> � ❑ Dat� Priva Adviso Form <br /> APPUCANT AND/OR�YVNER: <br /> • Agree to pr�vide ali ir�formation requlrod or requested by ths Planninp Department, <br /> • Agree to pay�tiorial lees (st�if Sm+e not cov+ered in the ort�tnal fee paymeM) anfllor consultani expenses <br /> fncarred in 1�eview af this application,and <br /> + Certlfy thst the fnfonme�on supplled is Vue and car'rect�the best of fiismer knowledge. The appllcsint and <br /> owner recognlze that thay are solaiy responsibk for submitting a complste app{ication being awera <br /> that upon failure to do so, thR staff has no alternative but to reject it uMil it is carnplete or to <br /> r000tn�qnd tFre requ�t far denial of the requ�t re$ardless of i�s pot�rrtisi mer�t. <br /> • Acknawledge tMe Escrow Agr�eemerrt is comp�eted and afgr�d. <br /> • The Owrter heneby adcnowledges snd agrees�this applic�tion and fiather authori�es reasonable eMry oM�o <br /> ihe prop�y by City Staff, consultante, aflenxs, Commissfon and Cout�l Members for purposes afi <br /> investlga6ion and ve�tbn of thia request. <br /> . Appiica�r�t ancilor Ownsr eaknowiedge ti�ey must be preseht at atl scheduled review meetings of the <br /> Pfenning Commisslon an�!CounceE� if an app!lcant andlor awner is uneble tv attend a scheduled rnee�rrg, <br /> piease rnake amangernent�t� hav�e an aubhorized repoesentative ette�d in pleoe of the appl�carit/ovmer and <br /> sdvisa the City Plenner assigned ta your proj�ecl. <br /> Apptfcar�'s Signature: Date; �„�� c-t„� � <br /> Applicar�s Signeture: Oste: <br /> Owner's S�nature: Date: <br /> Owner's S�gnature: Date: <br /> REGEIVED <br /> �fc�� .,�,,�,� ,lUN 1 7 2015 <br /> Paye 12 <br /> � � � � � CITY OF ORONO <br />