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� . <br /> �������� <br /> REQUIRED SUBMITTALS: �A� � � 2p�$ <br /> All of the following information must be submitted by the application deadline date in order fo��e�r������� <br /> application fo be processed. _ <br /> w �'��'�?��+ f£"�f,��^. M '`k'=' Y :(i'^ti• £a . f <br /> ��� ��'° �; .NOt� ��- .�* �''y'��,�'�'���� m�, ��. �} �.���,�r� ���� � �.. � <br /> `,�i3�:t��x;Y��yv�!t'���xr.s��,a�+,t ����,1� t�`.�, �`",u�R��`rx 4Fri3�,.{���'��1 t+`y�,"" ��� "� r.��+y,y '�'j; > ��i�,[ �'�� � ""'�x <br /> zr sxa+g ��a£ �� � arc, r � � ri� � �� �,.s' r�x- � ?r <br /> yiEnclosedff�:/�1 licable� ��}�sl��.,� Ji ��°�r'�..;� � � '����'�#�, v �r'"M,b'��J1.�'��� `'��,��`<X3�` +�s : y �^� �����, <br /> .. ....... !�"...... KY��S�!..��.:'�dleTiR.� �f�wit�.� .�T� � �`�� �{Y� #.T , J. <br /> 2r{U�l�.�.FrTs.�_ �S�Y,��m4':7v+��`�JU�HYf1"sc`e4���r�4r�hW1�"F�i'Yw+"s.TJk�� ?.Y�¢� <br /> � ❑ Escrow A reement si ned <br /> �� .�7�"y�'����y,cT' �i �R fa �a:.Im�+u.K. � �a+ 7'�7t' r r.� a�, <br /> �0:�°��'xk��Escrowx[ecei�ed:���,�� ����.� '��4 �°��'�.� ��M � �r_.. <br /> �l�x..� ���'�li��:EJn..:..�J.s ifx ,st'f.=a�.' .�n��..+.Ca+.xesie:��'e'-�.���,�.la�f�i�,lRSm� �as.c,"�,_ � f n�'�S�r���^tul.�a�`�.�����sL�a. <br /> 0 ❑ Pre-A lication Form <br /> �'�.F»:� �': tg"'�a'�v�`�-��'° .j�+� r �:�r �-:s.�y .w��. "�r ,,�;,.n:a f . �w.+' - ��rs rf u+�x <br /> ��..��.�r���,��:.���:�.a�._A f�cafion Eorm � ,����-�,��'�-�r�+ «�, .�,�•��,�t,��� 4�s L��j� d { <br /> .� ._.�l.G':r3i�a ?�x. ,�' �'�r.�'E3:.����:SS..�2�<�'w�.�:�li�i���'��1.�i�i'��w�.'�5$�'�� <br /> � ❑ Hardshi Documentation � <br /> x'ri��'2���;'ik i,� '� 'k+J�.1 �3, � � 'u^"_ '=" .'+W vruk :z!.vt;.ww� ��kCt����3��,. �.' >p � <br /> ,�,.�.�;,,���.����ar�0.�,����.rCer;fifietl.�Pro "er;t Ow,ne�s�Lisf��: ,.;.�,,�����,�� ���' r���' .��,� �,-�.����°����,�� <br /> � ❑ Surve meetin ALL re uirements shown on a es 5 6 <br /> N�;�.likii m Ei. iES� tia�sKS�aw 3p4',X,:� � cua.^*arre�t� ° .,�r=�rn�z�t°s: � � �,�..i' �, t <br /> ���.:;��.��:�_�,�°�,��t��,���Pro osed;;'Plans����z��`�����'����,����������!���:..,�,,,��,�. ��.,���u,���:�� <br /> � ❑ Hardcover Calculation s . <br /> �;, . <br /> 9 .4'ti�• R'.,*�,� .^^,� , � r�cz: rv .w�- a'�g, xuZ, �u.:�..u:.,.t x�� '�z+w,.rr�� t",� �dG'v'�r` �'A�'t.wi� :Fy �'�9*' "'� �� <br /> >���.;, :�..rw '�e���`.-��'1� .�'��.'.�.'��:S:e .tic.:S. .s em:Site Ev_.aluation�,�Re .o�t�,��.�.��:����.���r��.���,�;ta�.��`���' ��'� <br /> � � Wetland Delineation <br /> �-:ro,: ,�,. <br /> �, i3�.i �v r.y%:n qw� . ^�s ie, `� .eFror—e.ae �cEn�::ycw � 4 • R�j��;�v 4 '�tfi � <br /> ?� �.,:.�.����:.��:�,���f���UVetland�Buffe���val,uat�on�:�x�'����.�i�°��".."�'`��`�'��.�� �,��4:��� <br /> � {� Buffer Im rovement Plan � <br /> �i$n�..O�...2J�����,����s�e'f+�'�d4��1��'�zi7:4�:a'+'�'•�-7�;.•,�-t{�.,}��,;t. H�'-.9�.`dw`$:a�����.�1«:r,�'k.�r "d�s��a'.e.� ��'�����i.�i�i�.���3:��� <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 appfication, 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 andlor 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 unabte to attend a scheduled meeting, <br /> please make arrangements to have an aufhorized 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 confidential. Private dafa 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 governmentat agencies required by law. If you refuse to supply the <br /> information,the applicafion may not be issued. � <br /> ApplicanYs Signature: � Date: <br /> Applicant's Signature: Date: <br /> Owner's Si nature: f <br /> g 7�%�h.,����i1 ���� Date: .�-�/-��' <br /> Owner's Signature: ' Date: � <br /> - 15- <br />