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REQUIRED SUBMITT�►LS: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> application to be proc�esssd. <br /> `, .. , '��y�.. .�S �.'� .... .c -� , `�k. , . _ ' .. , . <br /> � .t'- V� "i e y��er3 } . , . . � �. . . <br /> �rt.�� �c�b1+�, �.i. '�. <br /> ❑ Variance A lication Fee <br /> _ Z _ _ ..);1 . �O <br /> � ❑ � ❑ Pre- lication Form <br /> ..* . - /�� . .F � . <br /> Hr+�i'�: L _ <br /> O P�actical Difficulties Form <br /> . . <br /> s . - <br /> - 'T'- . <br /> �.Y,:, <br /> � � Surve (meetin ALL re uirements <br /> _ T,, - <br /> . <br /> ❑ Hardcover Calculations <br /> �,� . , <br /> �.:, <br /> ❑ ' Minnehaha Creek Wa#ershed District(MCWD) Perrnit or <br /> Documentation from MCWD statin no ermit is re uired <br /> _ . :.a, ' T� • <br /> ❑ Data Privac Adviso Form <br /> APPLICANT ANDIOR OWNER: <br /> . Agree to provide aN information required or requested by the Planning Department, <br /> • Agree to pay additional fees {staff time not cavered in the orlginal fee payment) and/or consultant expenses <br /> incurred in review of#his application,and <br /> • Certify that the ir�formation supplied is true and correct to the best of his/her knowledge_ The appflcant and <br /> owner recognize that they are solely responsible for submltting a complete application being aware <br /> that upon failure to do so, the staff fias no aiternative but to reject it until it is compiete or to <br /> recommend the request for denial of the request regardless of its potential merit. <br /> . Acknowledge the Escrow Agreement is completed and signed. <br /> . The Owner hereby acknowledges and agrees to this ap�lication and further authorizes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of <br /> investigatbn and veriffcation of this request. <br /> . Appllcant andlor Owner acknowledge they must be present at all scheduled review meetings of the <br /> plannfng CommEsslon and Council. If an applicant and/or owner is unaale to atte�d a scheduled meetir�g, <br /> please make arrangements to have an authorized representative attend in place of the applicant/owner and <br /> advise the City Ptanner assigned to your project. <br /> Applicant's Signature: � Date: �/�„L I i <br /> � <br /> Applicant's Signature: Date: <br /> Owner's Signature: � �te� �l �--1 I �� _ <br /> Owner's Signature: Date: <br /> R���IV�D <br /> JUL 2 2 2015 <br /> Packet Lest Updabad.' January 2Q1 b <br /> P�?z c�nr o�oRONo <br /> � + ` # 3 ? 71 <br /> } �� � a.,. <br /> .�s„ t � . 't��. <br />