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REQUIRED SUBMlTTALS: <br /> All of the following information must be submitted by the applicatian deadline date in order for your <br /> application to be processed. <br /> ..ti. � yF' . .���".:.�� "L�n F. v , � �. J ,.`i.t �` .} .+ ttih . '' a �...�.`�-`- ;� } s-; �� y*v�4 ..�•. <br /> �+i�Yo�7 ,��t� ,r�1�3� +: .,�y>,�. s- .'Y..- '.t y��(�^ 4 �ti ��^' .Yas'�-'>v .n..S r �2 _ sa.. ,L -,:�, ..:?4 i'..e/S�- <br /> .,.. <br /> � .: . .�. .. . :. _ . . ..... '... �._ ....-,�_. ,.: ...-.� <br /> . . . ...•. . ..�..-. ..: � .. . . . . , <br /> ❑ ❑ Variance A lication Fee <br /> L3 : [� �scr+ow` +s� taed a�i;l FEe ;:.` , : <br /> _, -_ ., <br /> O ❑ Pre-A lica#ion Form <br /> - - �+'a�ar�ce �vrir�: , �: <br /> , . , _ . ,. . , <br /> _ . . , .. - .. . .. ,_ <br /> . . _ . .. . _. <br /> ❑ C7 Practical Di�cultfes Form <br /> . .�3 t , <br /> . <br /> . . _ �t : <br /> .,. <br /> �� ❑ Surve meetin ALL re uirements <br /> < Pr �1ans ,_ ... - <br /> ❑ ❑ Hardcflver Caiculations <br /> - tic� #e�'ri, �, . . _ <br /> ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or <br /> Documentation from MCWD statln no ermit is re uired <br /> ,. . . ... . .. <br /> - ` - ��'t �+�eC's -.. �a �. . <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 consultant expenses <br /> incurred In review of this application, and <br /> • Certffy that the information supplied is true and correct to the best of his/Fier knawledge. The applEcant and <br /> owner recognize that they are solely responslble for submitting a complete apptication being aware <br /> that upon fallure to do so, the staff has no alternative but to reject It until !t is complste or to <br /> recommend the request fcr denial of the request regardless of fts potential merft. <br /> • Acknowledge the Escrow Agreement is completed and signed. <br /> • The Owner hereby acknowledges and agrees to thls application and further authorizes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of <br /> investigation and verificatlon of this request. <br /> • Applicant andlor Owner acknowledge they must be present at all scheduled revlew meetings of the <br /> Planning Commission and Council. lf an applfcant and/or owner is unable to attend a scheduled meeting, <br /> please make arrangements to have an autFrorized representative attend in place of the applicanUowner and <br /> advise the City planner asslgned to your project. <br /> Applicant's Signature: " Date: �� �� <br /> Applicant`s Signature: Date: <br /> Owner's Signature: Date: <br /> Owner's Signature: Date: <br /> REC�tVED <br /> SEP 2 3 Z015 <br /> Packet Last Updated January 2015 <br /> �, ��. - ��. PBse�2 �ITY OF OR�NO <br /> �'` � � � �� �# � 7 �9 <br />