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REQUIRED SUBMfTTALS:
<br /> A(1 of the folbwing information must be submitted by the application deadline date in order for your application to be
<br /> processed.
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<br /> Use&Conditional tJse Permit Fees �L '��
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<br /> � Owners List ""
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<br /> Pro sed Plans � '
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<br /> Se tic S stem Site �valuation Re ort ��' '�`�
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<br /> Ad'acent Pro ert Owners'Acknowled ement
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<br /> � � �Data Privac ,Advis Form y '�"'
<br /> APPUCANT ANb/OR OWNER:
<br /> • Agree to provide all informa�on required or requested by the Planning Department,
<br /> • �qree to pay additional fses (staff time not covered in the orlginal fee payment) and/or consultant expenses
<br /> incurred in revfew of this applicatfon,and
<br /> • Certify that the iriformadon supplied is true and correct to the best of his/her knowledge. The applfcant and
<br /> owner recognize that they are solely responsible for submltting a complete appllcation befng aware
<br /> that upon failure to do so,the staff has no alternative but to reJect it until it Is complete or to recommend
<br /> the request for denial of the requast regardleas of Its potentlal merft,
<br /> • Ackrrowledge the Escrow Agreement is completed and signed.
<br /> � The(hmer hereby acknowlec}ges and agrees to this applicatiort and further authorizes reasonable entry onto
<br /> the property by City Staff,consultants,agents,Commission and Council Members for purposes of investigatbn
<br /> and verification of this request.
<br /> • Owner and/or Appticant acknowledge they must be present at ail scheduled revlew meetings of the
<br /> Planning Commission and Council. tf an appficant and/or owner is unable to attend a scheduied meeting,
<br /> please make arrangements to have an autho�ized represerrtahve attend in p�ace of the applicanUowner and
<br /> advlse the Cit�r Planner assigned to your project.
<br /> Owner's Signature� � �
<br /> -�-+� Date: t
<br /> Owner's Slgnature: Date:
<br /> Applicant's Signature.� Date:
<br /> Applicant's Signature; � � `
<br /> Date;
<br /> packer ta�t u�r8d: a�usr 2or5 REC E!V E D
<br /> Paye 12
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<br /> # 3 7 91 CITY OF ORONa
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