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<br /> 9`a���Q H�LL.F ,
<br /> REQUIRED SUBMITTALS: '
<br /> MAY � � 2008
<br /> All of the following information must be submitted by the application deadline date in order fa��err�F �Ra�11�}
<br /> application to be processed.
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<br /> ❑ ' � ❑ Escrow A reement si ned �
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<br /> ❑ ❑ Pre-A fication 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 /> ❑ C� Wetland Delineation '
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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 tfae original fee payment) and/or consultant expenses
<br /> incurred in review of this applicafion, 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, tMe 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 schedufed review meetings of the �
<br /> Planning Commission and C.ouncil. If an applicant andlor owner is unable to attend a scheduled meeting,
<br /> please make arrangements to have an authorized representative attend in place of tlie applicant/owner and �
<br /> advise the City Planner assigned to your project.
<br /> � • Some or all of the informafion thaf you are asked to provide on this application is classified by State law as
<br /> either private or confidential. 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 informafion 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 applicafion may not be issued.
<br /> Applicant's Signature: . Date:
<br /> Applicant's Signature: Date:
<br /> � Owner's Signature: �— ,,�{,(� Date: S-,��_��
<br /> Owner's Signature: � Date: �
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