. , , , • � ,
<br /> + �
<br /> ��������
<br /> REQUIRED SUBMITTALS: �A� � � ZOOS
<br /> All of the following information must be submitted by the application deadline date in order fo��t�r�� ��o�
<br /> application to be processed.
<br /> a-��s���'it��y;iaur if `*�c eF ^a `++�s':� ��r�r � �—�1 W - s y� w�,.r� g �ht -�,. r �r
<br /> uk t¢'l.y'�,,$�,�. ��i t a'i��y N�t�+�kV'���yc m���h��e� �'.'P�r'�7�.�:�°'�7' K?.�� �Nt E?P�'a.��u x �$ �t'F'�`�{a 3`u't!- }4�t�.r��+t 1 S}"va�x��{�E �}. i�"ri 7j�j��- t y
<br /> Yael.:r.x � �'..i;��-c'r r!4 .A�( ' �r-' yti'Xc t4 .4 '"{�rr"1 x�A �e'Q�i r� � � .s� �.°-���i���Y dh� 3!'i§x1C� 3 e(�'!tR� ^}"� 4! i.. S c .fR
<br /> vx�.*�l°'wW�����1�°'.[:iMW'�.a:("'�'�� � ��i 'S G f N �FM!,�i'kJx'f'f, Y I...Y � ��t�f krlldx }y, 9�7��.�i/ -.. �r�^��'� � �
<br /> t
<br /> �Enclosed:*i�A licable� �.��4�_c..�-i��.�:�x:iH�:�:a�:«sF��aE�t....�f,r�i��Y�'���F� �';��:L`�t��•�i...�n�ik;�:'���'4�v-.�ft���?!i��a'r�'�'�e
<br /> ❑ ❑ Escrow A reement si ned
<br /> ��r R ,�a it�e' x+r ci:E � aa.T�] .�nmr �s.:saea�s.'�t-ue'i�a+�F"`��F'T�R r�rr+'1+'�!9'"�`�^'�`ay'u' '`,�.�rx;� mv4p j�rys^rv�v.v� �. � +�:a'ei JY?"i�F':.. �'
<br /> :����,�..�,. ��»�;D:�.�����.�Escrow�eceived � � , 4;� ,., '�,���'�r���; ��.�� �.���"���.k l �� t:� F�.
<br /> - ._.rti..r_..,�ra�as..:t�xn u�f,v.u�l...,.�,ra;�..r�'�_.,�,.2ra�l..�,�._ .,a..�.,.s�:F�s�s:�,.�r.�.�9:.�:�v.nr
<br /> � ❑ Pre-A lication Form
<br /> �y pF'�?P4 :�1� �''4 fi f?+.�,"; +y ,� /�-�� ax:� �amw+-:rr,uxd � q�v�4•nmc���n � ur sc� �r .����*`�tr�
<br /> Y 0 0�.L�..i �i�,.. �'. . � i ��F Ya�' tt�j��J��i�;r'r '4 r-i y�d L".r�s�",Z-xKm r 5,�,.''�iO'�T:�i'�'ful�`s
<br /> �s.��Sil.�. «::fa...:.u.�:inauf�.��.�e:�xG .,1�.'..�. I'1 I�catio.r�Fo."'�m�....,,�s�.�,�.,�x��;,..,;.,�_,.�„�„�yS:;:i>:L �v'P.,iG�".�'�!L.,i"��i�+�catil��.:.�iE.�i:auhet�uK.:i.:a..'-:•
<br /> � ❑ Hardshi Documentation
<br /> �+ 3':� t'�x� ,� x 9� �,� ua+� 4�-e.�scG-yas .�w;=raa.k • y r:as��s�' `r . a 4 �T.+ <wm -d�r, .3: r 4
<br /> �..:,;.����:�.�. �.�;:�:,.n���..�:� �C`erti.fietl>Fro ect Owners,Li'st#�.,��a.:,},.�.����:.�;-.���y���c��..�;:°;�.�a„�r���.:.ra�'��;,.���:'�,.�
<br /> ❑ ❑ Surve meetin ALL re uirements shown on a es 5 -6
<br /> �.��"�')„�a��' a r�'�,,t,r� } .,,t!'fr'�� 'ctc�3' ra�-;a✓r�mm r an.lrwr�r r.w r�,.i� ^f ry s�. ratcv�i :r r t � ^q x ���'F^^r,. r� ,1 �,yt, �r: ��1
<br /> 7:�r'r+G�Ox$.�I..:u..Y �/'�4�...n:M�.k���'�� ,.Pr� D.S_Pi,di;P Ian.5e.,1�'3+T...y4�t!.i.4 t�1wi.�_ 51.:,.Jj i!n�..1�} E>�,K:�-Y�L$'L��s� �4.0<.�,�i"��iw���Y�a�An��unar�e,-�t.?�
<br /> � ❑ Hardcover Calculation s
<br /> {f�nre `�'a�t'�t t t.�.1 i'n�. -,� �o�e �f°=r aa r .� �� .a7' '�` c�f 1; l'lx� � -r"?"'�
<br /> �,° a . z':}' �'k "'�' � K" �.t�r.�-xin r..•: -m wr:a� : �eq ue�i` rr• Y r w•, e< cr�x��-n,�« e
<br /> �-�,.,.�.L.._...1�.�:� �3�s,.,:m.��_ �a._.,r..z�Se tic;�S sfem,Site EvaluationaRe ,oct�����.��'��x�,�� .,���_ '� ��,� �5;�<.
<br /> . . . _ _._ . .... _y_.._...._ .. . _.L �). ..[..tivruF.:i R�CAtr31a>i'#Y�» ii�•
<br /> . _._ . . .._g
<br /> � � Wetland Delineation
<br /> "' : °SL '1lYq `y.2 .t.Y^`:� t K^' 1�Y i"T' tY
<br /> " X�❑x.s��l}fi�:>�`.i������.h ri�`�W@t�afl�diBu_ffer�Evaluation:�i�;.�M�.:�t,;.};�3a;,�.,.��''�';c�:����si:��w4���,".:��.�,'��'-�,��,�;;ia��'�„z��
<br /> � � � Buffer Im rovement Plan
<br /> � Y"'. �in '.� .� 'i�.x �� i .� s h yu x j u n. �*!S.IS P'� iF'^ � � •a
<br /> ❑.�.,{���� t- �.., n t� r�:n ��,,�� d.��` �s � F'F'^i«- ,: t�.�.!� ,�^�k'?"3, xt,x i'�' id�l,l,�",'�i:;�;;�v'��r�3�$� t;�{-
<br /> �,7.��:k�� �...e.�u �.$y�r...e._.�a:_ .:7u:,F���:i�k�..i�:�.t.v.iaa..:::s�:��::a..�5.x:—.:ixu�.'r�rs�c=aaif:ar�i�..�i!s•.Sie:nu..:L...i.a...:r.?��u.��.. �.[k.i�:".e.T.�};'��x'?::s.ut: «w�s:l: .�fl�i�.T�ivi����a�kuL•E't:e.�V—'�:sY
<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 /> • 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 merit.
<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 a scheduled 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 /> • Some or all of the information that you are asked to provide on this application is classified by State law as
<br /> either private or confldential. Private data is information which generally cannot be given to the public but can
<br /> be given to the subject of the data. Confidential data is information which generally cannot be given to either
<br /> the public or the subject of the data. Our purpose and intended use of this information is to annually update
<br /> our records and records of other governmental agencies required by law. If you refuse to supply the
<br /> information,the application may not be issued.
<br /> ApplicanYs Signature: Date:
<br /> Applicant's Signature: Date:
<br /> Owner's Signature: � ,�,r(�,(� Date: S-,��_.��
<br /> Owner's Signature: � � Date:
<br /> , �
<br /> - 15-
<br />
|