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REQUIRED SUBMITTAl.S: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> appficatfon to be processed. <br /> Not <br /> E��os��d �Pjlc�file , <br /> 0 Variance lication Fee <br /> scrow A rreem�nt, i n�d and� <br /> � ❑ Pre-A lication Form <br /> [] Vananc�A Hc�bon�ocm <br /> ❑ Practical Difficulties Form ' <br /> t1 d Pro Ownars t <br /> ❑ Surve meetin ALL re uirements <br /> �1 F os� Pt�ns <br /> C7 Hardcover Calculations <br /> e S tem �1te Ewa4u�ion I�e <br /> � id Minnehaha Creeic Watershed District (MCWO} Permit or � <br /> Documentation from MCWD statin no ermit is r uired <br /> A a Pro Owm�rs A �rn+ant <br /> ❑ Data Privac Advis Form <br /> APPLICANT ANDIOR OWNER: <br /> • Agree to provide all information required or requested by the Planning Departmerrt, <br /> • Agree to pay additional fees (staff time not covered in the original fee payment} and/or consultarrt expenses <br /> incurred in review of this application, and <br /> • Certify that the information supplied is true and correct to the best of his/fier knowledge. 7he applicant and <br /> owner recognize that they are soiely responslble for submitting a complete application being aware <br /> that upon fallure to do so, the staff has no alternative but to reject it untll it is complete or to <br /> recommend the request for denial of the request regardless of its potential merit. <br /> • Acknowledge the Escrow Agreement is campleted and signed. <br /> � The 4wner hereby acknawledges and agrees to this application ar�d further authorizes reasonable entry onto <br /> the property by City Stafl, wnsultants, 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 /> Alanning Commission and Council. If an applicant and/or awner is unable to aitend a scheduled meeting, <br /> please make arrangements to have an authorized representative attend in place of the applicanUowner and <br /> advise the City Planner assigned to you�project. <br /> Appllcant's Signature: Date: ��2��t S <br /> Applicant's Signature: Date: °�`2-L1 V�` <br /> Owner's Signature: Date: ��'L7-l+j <br /> Owner's Signature: Date: `1 1�-11�" <br /> �C�-�VED <br /> Packet Last Updated: Jer►uary 2015 <br /> P�ge f2 ocr 2 o za�� <br /> # 3 7 9 2 �����o <br />