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REQUIRED SUBMITTALS; <br /> Atl of the following infomtetlon must be submitted by the appllc�tion deadine date�order for yo�appl(catlon to be <br /> proc�essed. <br /> Not • <br /> Enclased licable . • . . <br /> D Land Use 8�Condi�onal Use Permit Fees <br /> Ca � Esa-ow reeme►rt.s' nad and fiee f5=,� 6 <br /> ❑ O Pre- ication Form B e 5-3 (o <br /> Q L-and Use 8c Cc�ndi4onal Use Petmit ication . <br /> O Certifred Pro Owners Lis# <br /> ❑ �urv� meeti 1#�L� �rements : <br /> ❑ Pro osed Plans <br /> [7 Hardcover(�alcuf�tic�r�s <br /> ❑ 5e 'c tem Site Evalua#ian R ort <br /> . � Minneh�ha�reek Ylfaterst�d Dis�id f MCV1IDj ep�r+o►ral or <br /> Docum�ntatican#rom MG1ND stati no it fs uir�d � <br /> 0 [] A�d'acerrt Pro Owners'AcJmawled emerrt <br /> ❑ Storrr�wa#e�'Pdlulion Preventi�Plas� �� <br /> ❑ Data Priva Advis Form <br /> APPLICANT AND/0R OWNER: <br /> • Agr�ee to pro+ride all ittformation reqUined or requested by the Plaming Department, <br /> • Agree to pay addiUonat fees (staff time not covered in the original fee paymer� ar�d/or consultar�t expenses <br /> inaxned n review of this application,and <br /> • Ceriify that#he frrformation supplied ts true and correct to the best of htsfier knowledge. Ti�e applicant and <br /> owner recognlze that they are solely respor�siblQ for subrnittlng a complete applicatlon being awar�e <br /> that upon failure to do so,the staff has no aibernative but to rejed it unti!it is complebe or to recommend <br /> the request for denlal of tfie request rBgar+dless of Its pobent(al me�it. <br /> • Adcnowledge the Escrow Agt�merrt is cflmpleted and signed. <br /> . The pamer hereby acknawledges and agrees ta this appl'�cation and further authorizes reasonabte enby orrto <br /> the property by City Staff,consultarns�agents,Commission and Cotmal Members for purposes o�f irnesdgation <br /> and verf�ication of this request. <br /> • Owner andlar Appllcant acknowledge they must be present at all scfieduied review meet�ngs of th� <br /> Planntng Commissbn and Councll. If an applicant and/or ov�rt►er is unable to atte�d a sct�eduled meet�g, <br /> please maice arrangemsrrts to have an authorized representative att�d fn place of the applicant/owner ar�d <br /> advise the City Planner assigned to your project. <br /> Qwners Signature: Date: <br /> Ovyr�er's Signature: Date: <br /> App�cant's Signature: Date: ���d r�� _` <br /> Applicant's Signature: Date: g�/8�/S � <br /> RECEIVED <br /> ��� ,�,���6 ��� AUG 19 2�15 <br /> � 3 � 8 O c�TM o�oRONo <br />