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REQUIRED SUBMlTTALS: <br /> Ail of 1he fallowing infortna�on must be submitted by the applicadon deadline date in oMer for y�aa appNcatbn to be <br /> Proc�essed. <br /> Not , <br /> E��closed 6ca4le � � : . � . <br /> � Land Use&Conditionaf Use Perrnit Fees <br /> 0 � Escrow reemet�t,s' ned an�d fi�e f,$'-3 E, <br /> C7 ❑ Pre- ication Form Be -3 ro <br /> Q Lar�Use�Conditional Use Petmit icatifon <br /> C7 Certified Pro Owners Lisf <br /> Q Surve mee�i ALL �remenEs <br /> � Pro osed Plans <br /> Q Haradccver C;alcx���ons <br /> � Se c S sbem Site Evaluation R ort <br /> 0 Mirartehatra Creek V�l'atecst�ed Disfid(MCVIID)approval cK . <br /> Dor.um�rttatkan tran MC�IVD sta" no ft fs ined . <br /> � 0 Ad'acerrt Pro Owr�ers'AaJmawl emerrt <br /> � Stormwater f'odution F�entic�P�es� P <br /> [7 Data Priva Advis Form <br /> APPLICAMT ANDIOR OWNER: <br /> • A�ree to provlde a!I iMormaUon�equired or requested by the Plaming Departmerrt, <br /> • Agree to pay addition� fees (staff time not covered in the orfginal fee paYmerr� ard/or c�nsultarrt expenses <br /> ir�cxx�n r�eview of thfs appacation,and <br /> • Certiiy that the fnformation st,�pplied fs true anc! correct to the best af hfs/her knowledge. The applicant and <br /> owner recognize that they are solsly respansiblQ for subrnitting a comple�e appllcatlon being aware <br /> that upan f2tilure to do so,the staff has no alternative but to rejed it unt�it is compleEe or to recorrtmend <br /> the request for denial of the request regardless of fts poterrtial merit. <br /> • Adcnowledge the F�crow Agneemerrt is oompleted and signed. <br /> . The Owner hereby adcnawledge,s and agre8s to this appi'�cation and furt�author�zes reasonable enby orrto <br /> the property by City Staff,cansuRarrts,agents,Commission and Coundl Members for purposes o�f mvesUgation <br /> and v�erfAcation of this r�equest. <br /> • Owncr andlor Appllcant acknowlgdge they must be presertt at all scheduled review meetings of the <br /> PlannMg Commissbn and Cour�cll. If an applicant and/or owner is unable to attend a sd�eduled meeting, <br /> please make arrangerr�rrts to have an author�zed representativve attend fn place of the apptican#lowner and <br /> advise the City Planner assigned to yaur project. <br /> Owr�efs Signature: Date: <br /> Owner's Signature: Date: <br /> App�carrt's Signature: Date: � �d /,� <br /> Applicartt's Sig�ature: pa�: 8 /8 /� <br /> � _ <br /> RECElVED <br /> PerJaet La�t Upd�ert August 2016 <br /> ��2 AUG 19 2015 <br /> # 3 � 8 O c�nr o�oRONo <br />