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REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> �- <br /> . X�i5 Y <br /> "I • � ' ��� v ' Y f �t' � .. i 3.Y . � f I �. <br /> je .�.�..- yd�t ��;Y a ,,. �����s3rc��., i -'� , -!3 r #`� �,- a .. <br /> .... � <br /> , , ; <br /> . . ..�- . � .y ^3 s .r`�� �.. :rv e <br /> ���IGt�� ��� a.� ��'��'r � , r^ <br /> � � <br /> : _ ,. . _ ,�. ,,_�_ . . ��'::�e,. , . ,.. _.. � _�:" ��� ~� ' F«��>;�,� <br /> ❑ Variance A lication Fee �r� <br /> �s :�:�.� {,;:.�s �x� <br /> `�r �� <br /> ❑ Pre-A lication Form <br /> ��:� -�`; _.;�:# .. <br /> � ❑ Practical Difficulties Form <br /> £ }<<�=: <br /> � ❑ Surve meetin ALL re uirements <br /> �� x:;� =,�e �r.z <br /> : , , ; , <br /> �9 ❑ Hardcover Calculations <br /> :w��# �-:�� - �s <br /> � ❑ Minnehaha Creek Watershed District(MCWD)Permit or <br /> �� �. <br /> Documentation from MCWD statin no ermit is re uired <br /> �.,� <br /> � ❑ Y Data Privac Adviso Form <br /> APPLICANT AND/OR OWNER: <br /> • Agree to provide all information required or requested by the Planning Department, <br /> , <br /> • Agree to pay additional fees (staff time not covered in the original fee payment) andlorconsultant expenses <br /> incurred in review of this application, and <br /> • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and <br /> owner recognize that they are solely responsible for submitting a complete application being aware <br /> that upon failure to do so, the staff has no alternative but to reject it until it is complete or to <br /> recommend the request for denial of the request regardless of its potential rnerit. <br /> • Acknowledge the Escrow Agreement is completed and signed. <br /> • The Owner hereby acknowledges and agrees to this 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 verification of this request. <br /> • Applicant and/or Owner acknowledge they must be present at all scheduled review meetings of the <br /> Planning Commission and Council. If an applicant and/or owner is unable to attend ��5cheduled meeting, <br /> please make arrangements to have an authorized representative attend in place of the applicant/owner and <br /> advise the City Planner assigned to your project. <br /> Applicant's Signature: � Date: ��2p�lS <br /> Applicant's Signature: Date: �/ 20�/�" <br /> Owner's Signature: Date: �/��� <br /> Owner's Signature: - Date: �/ao/�� <br /> RECEIVED <br /> PacketLastUpdated: January2015 JUL 2 2 2015 <br /> Page 12 �(�'„ � � �� <br /> g CITY 4F ORONO <br />