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<br /> REQUIRED SUBMITTALS: •
<br /> All of the following information must be submitted by the application deadline .date in order for your .
<br /> application to be processed. •
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<br /> � ❑ Escrow A �reemenf signed �
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<br /> _ �e �e`< r��-�� �_ �,� ���� s
<br /> � •❑ Pre-A lication Form -
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<br /> � ❑ Hardshi Documentation
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<br /> � ❑ Surve meetin ALL re uiremenfs shown on a es 5 - 6
<br /> � � �<�.W.��e�1�P��ns. '`����;��':�. :'����������� � ��� �"
<br /> � ❑ Hardcover Calculation s
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<br /> � ❑ 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 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 responsibfe 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 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 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 ' sued.
<br /> Applicant's Signature: Date: � � , 2 Z � o�
<br /> Applicant's Signature: Date:
<br /> ,•
<br /> Owner's Signature: .,,fi��'{ ..•, ),,,�• _ Date: U c.}: �a�, a�?j
<br /> Owner's Signature: � Date: •
<br /> RECEBVE�
<br /> � ' � �� '� �� n - 15- OCT Z Z ZOOS
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<br /> CITY nF nRnnin
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