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REQUIRED SUBMITTALS: <br /> A!I of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> Encio�ed, �p�icable ,. , . , , _ . : . . . � :,. , .,,_ > .. .. <br /> ❑ Variance A lication Fes <br /> � Escrow reement s ned and.Fee . <br /> ❑ Pre-A lication Form <br /> p Variar�ce A licat�an Form <br /> ❑ Practical Difficulties Form <br /> - Ci Ger#if�ed Pro s C)wners Li�t <br /> ❑ Surve meetin ALL requirements <br /> fl osed Pians <br /> � Hardcover Calculations <br /> C] S tic S tem Site Evalu�tiar�Re ort <br /> p ❑ M9nnehaha Creek Watershed Dis#rict{MCWD)Permit or �A ��+��°w " T`"" <br /> Documentation from MCWD statin no ermit is re uired a'���'`�+ '�c�wycr/o,j� <br /> p O Ad acent Pro Owners Acknawt emen� h J�c co +�+1 . <br /> ❑ Data Privac Adviso Form <br /> APPLICANT AND/OR OWNER: <br /> . Agree to provide all information required or requested by the Planning Department, <br /> . Agree to pay additional fees {staff time not covered in the original fee payment) and/or consuttant expenses <br /> incurred in review of this application, and <br /> . Certify that the information supplied is true and comect to the best of his/her knowledge. The applicant and <br /> owner recognlze that they are solefy responsible for submitting a complete applicatlon being aware <br /> thait upon fallure to do so, the staff has no altemative but to reject it until It is complete 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 acknowfedges and agrees to this application and further authorizes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commission and Cauncii Members for purposes of <br /> investigatian and verification of this request. <br /> • Applicant andlor Owner acknowiedge they must be present at aN scheduletl revEew meetings of the <br /> Pfanning Commiasion and Council. If an applicant and/or owner is unable to attend a scheduled meeting, <br /> please make arrangements to have an authot�ized representative attend in place of the applicanUowner and <br /> advise the City Planner assigned to your pro'ect. <br /> Applicant's Signature: Date: %r' <br /> Applicant's Signature: Date: <br /> Owners Signature: Date: <br /> � �iECE1V <br /> Owner's Signature: U--� Date: ���I. <br /> APR 2 � 2015 <br /> C�(pF OROr <br /> Packet[.ast IJpdeted: January 20i5 <br /> Pege 12 <br /> � 37 � � <br />