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<br /> REQUIRED SUBMtTTALS:
<br /> Ail of the following information must be submitted by�the appiication deadline date in order for your
<br /> appfication to be processed. `
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<br /> O Escrow A reement si ned
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<br /> � � � Pre-Ap lication Form
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<br /> ❑ Hardshi Documentation
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<br /> � � Surve meetin ALL re uirernents shown on a es 5 - 6 �
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<br /> � �❑ Hardcover�Calculation s W � �
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<br /> � �� ❑ Wetland De(ineationy
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<br /> � � ❑ .' Buffer lm 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 conswltant expenses
<br /> incurre.d in review of this application, and
<br /> • CerEify that fihe 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 appiication 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 appfication and further authorizes reasonable entry onto
<br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of
<br /> � investigafion and verification of this request.
<br /> •. Appficant and/or Owner acknowfedge they must be present at all scheduled review meetings of the
<br /> Pfanning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting,
<br /> please make arrangements to have an authorized representafive 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 pubiic but can
<br /> be given to the subject of the data. Confidential data is information which generally cannot be given to either
<br /> the pub(ic or the subject of the data. Our purpose and intended use of this inforrriation 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 /> App(icant's Signature� � � -��--,�ate; �-Z � i�1c��
<br /> Applicant's Signature: Date:
<br /> Owner's Signature: � ,,.,�,e: 1 Z l � S � �
<br /> Owner's Signature� �� Date:
<br /> � � '� ��
<br /> DEC 1 � 200$
<br /> - 15 - :�i�_` �r �1 t''_:i���f;•.
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