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R��QUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> N'ot , <br /> Enclosed A licable ,, ': .'. . , ,. <br /> ❑ ❑ Escrow A reement si ned � <br /> -, �," 0. Escr.ow received : _ , . • . <br /> . .. __ <br /> ❑ ❑ Pre-A lication Form <br /> Ci�' : . � A licat'ion focm _ _ , - , <br /> ❑ Hardshi Documentation � <br /> �� _� �0��=. � � �Certified`Pco�`e � Qv�iners List ��� � � � � � � � <br /> ❑ Surve meetin ALL re uirements shown on a es 5- 6 <br /> - .. , . . <br /> �`. ❑ Pro osed Plans . _ . ,. <br /> ❑ Hardcover Calculation s • <br /> � 0 � ° Se tic S stem Site Eualuetion Re` ort � ' <br /> ❑ � Wetland Delineation <br /> � � �I Wefland Buffer Evaluation , - " <br /> ❑ Buffer Im rovement Plan <br /> ❑ - ❑ . � .. • . _ . <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 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 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 record vernmental agencies required by law. If you refuse to supply the <br /> information, the applic ion m t issue <br /> ApplicanYs Signature: Date: ! e <br /> Applicant's Signature: Date: <br /> Owner's Signature: � ' - Date: �1��p -�''-j <br /> Owner's Signature: Date: ' <br /> ��C��V�� <br /> - �5- �EB � � 2009 <br /> �R�"�' OF QRONC� <br />