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REQUIRED SUBMtTTAIS: <br /> All of #tie foilowing ir�ormation must be submitted by the applica#ian deadline date tn orclsr for your <br /> applicatiot�to be processed. <br /> Nvt <br /> Enclos d A plfcable <br /> ❑ Variance A Iicatlon Fee <br /> � Escraw reement si r�ed and�'ee <br /> ❑ Pre- lication Form <br /> � 0 Variance (icativn �orm <br /> D Practical Difficutties Form <br /> O Certifred Pro Owners List <br /> O Surve meetin ALL r uirements <br /> � Pro Pians <br /> ❑ Hardoover Calcuiations <br /> O Se c S stem Site Evaluation Re oR <br /> O Minnehaha Creek Watershed Dist►i�t{MCWD) Permit or <br /> Documentatian from MCWD statin no ermit is re uired <br /> CI Ad acent Pr e Owners Acknowled ment <br /> ❑ Data Priva Adviso Form <br /> APPLlCANT AND/OR OWNER: <br /> • Agree to provide all informa#ion requlred or requesfed by the Ptanning Department, <br /> o Agree to pay additionai fees (staff�me not covered in the original fee payment} andJor cansultant exper�ses <br /> incurred fn review of this applicatiort, antl <br /> • Cettffy that the informatfan supp3ied is true and coRect to the best of his/her knowledge. The applicant t�nd <br /> owne� recognlze that they aro aalely respon�ibla for submltting a complete applica�tlon being aware <br /> that upon f�flure to do sa, the �tafF haa np altemathle but to rejed it uAtit it is complete or to <br /> rocommend the requast far denta!of the request re8ardlsss of Its potentla�merit. <br /> • Acknowledge the Escrow Agreement is completed and slgned, <br /> • The Owner hereby acknowledges end aprees to this application and further authorizes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commission and Council Mernbers for purposes of <br /> investi$afion and veri5catior�of this nequesf. <br /> + Appilcant And/or Owner aaknowled�e they must be ptesent Rt all �aheduted rsview mastings of the <br /> Plannirtg Commission and Counail. If an applicant andlor owner is unable to atter�d a scheduled meeting, <br /> plsase make arrangemants t� have et� auHw�ed representative attend in place of the applicantlowner and <br /> advfse the City Planner aesipn your ect. <br /> App(icanYs Signature: Date: � - �c��t�_ �_ <br /> App(lcant's Signature: w Date: $ - (�[ -(� <br /> Owne�s Signature; Date: $ -�f - �� <br /> Owner's Signature: Date: g - � �-�_ <br /> REC�i1�ED <br /> �rr��rua��a a�r�or6 AUG �� 9 ZQ15 <br /> n��vz <br /> � � � � � C11Y OF OR�NO <br />