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<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. _
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<br /> � ❑ Escrow A reement si ned
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<br /> 0 ❑ Pre-A lication Form
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<br /> � ❑ Hardshi Documentation �
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<br /> � ❑ Surve meetin ALL re uirements shown on a es 5 6
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<br /> � ❑ Hardcover Calculation s .
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<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 �
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<br /> � {� Buffer Im rovement Plan �
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<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-
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