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i � <br /> REQUIRED SUBMITTALS: <br /> All of the follvwing Information must be submitted by the application deadline date in order for your application to <br /> be processed. <br /> . _ . . <br /> . . . <br /> ._ .- �t.. . ° r�.. . .- , . . . ... _ . . <br /> . .. . , .. . � � _ � . , " r. � . . 1 <br /> :� . ...... . � . __ _ . ..�.. .�.. : . ,_. ... . . , _ .:-: ..,4-. .._ _..._ . . . . . , . <br /> ❑ ❑ Land Use&Conditional Use Permit Fees <br /> , .. �1 fe�s� <br /> ❑ ❑ �Pre-A lication Form <br /> ,. ". , ". . ,..-� �.. .. <br /> ._ _. _ >�� . <br /> .: . . <br /> , _ � . . <br /> ❑ 0 Certified Pro e Owners List <br /> . .,._ _ , . . - - <br /> :r � .t: - <br /> . .. , . , <br /> ❑ ❑ Pro osed Plans <br /> � � � t�: � _ . � � � � _ � _ <br /> ❑ � Se tic S stem Site EvaFuation Re ort <br /> . . _ , . . . (� , ��PP� �, ,. _ : .. <br /> �re�ei� �t <br /> - tJ ,raa, #s u�r� � <br /> : . , . . : � -- . .. <br /> ❑ ❑ Ad'acent Pro ert Owners'Acknowied ement <br /> . <br /> ❑ ❑ Data Privac Adviso Form <br /> APPLICANT AND/0R OWNER: <br /> . Agree to provide all information required or requested by the Planning Department, <br /> • Agree to pay additional fees (staff tlme not covered in the original fee payment} and/or consultant expenses <br /> ina�rred in review of this applicatlon, and <br /> • Certify that the information supplied is trve and correct to the best of his/her knowledge. The applicant and <br /> owner recagnize that they are solely responaible for submitting a complete appllcation bein9 aware <br /> that upon failure to do so, the staff has no altemative but to reject it untll it is complete or to <br /> recommend the requ¢st for denlal of the requeat regardless of its potential merlt. <br /> • Acknowledge the Escrow Agreement is completed and signed. <br /> . The Owner hereby ackrwwledges and agrees to this application and further authorizes reasonable entry onto <br /> the •property by City Staff, consuftants, agents, Commission ar�d Counc� Members for purposes oi <br /> investigation and verification of this request. <br /> . Owner andlor Applicant acknowledge they must be pr�sent at all scheduled review mestings of the <br /> Planning Commission and Councll. If an applicant andlor owner is unable to attend a scheduled meeting, <br /> please make aRangements to have an authorized representative attend in place of the applic�nt/owner and <br /> advise the City Planner assigned to your project. <br /> Owner's Signature: ��L—' � Date: `��Zo1 �� <br /> Owner's Signature: Date: <br /> / 1�' <br /> Applicant's Signature:�? �� Date: � 1 Zc'��1�S <br /> Applicant's Signature: � Date: <br /> ��� <br /> �iUL 22 Z01a <br /> Packef Last Updeted: January 20i6 � � � ���ONO <br /> Pags 12 � <br /> ,� ��" t; ".� .�;, <br /> �� � •� •� ',y <br />