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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. `�`� � . <br /> Notr �_ �� ,, �,,. <br /> ��Errclosed A�� �licable � � <br /> ❑ ❑ Escrow A reement si ned+ <br /> � ' : . "��.: � °.Escrow receiued. �.' �_• �' <br /> ❑ ❑ Pre-A lication Form <br /> . .ti ❑ , ,. � . .. _ . _ <br /> . . . . . , <br /> � - � ° A "lication•Form <br /> ❑ ❑ Hardshi Documentation � <br /> � '' . Certified Pro e Owriers.List� . <br /> .0 ❑, . . <br /> ❑ ❑ Surve meetin ALL re uirements shown on a es�b.-6 <br /> ❑ ❑� Pro ose.d TPlans =-� °� :` <br /> _. ..: , . �. , _ , , . :.. ,., ._ ,. <br /> . . . _. <br /> ❑ . Hardcover Calculation s . <br /> � ,.� _ Se tic S stem:Site Evaluation Re ort � ' � <br /> �._ . . :, ._, . ., , . . ,� .. . �:. <br /> ❑ �( Wetland Delineation ' <br /> ❑�=�� � � ��W�e#�Iand��Buffer�Eva�luation"� . � ' � - � <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 /> incur�ed 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 /> investigafion 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 issued. <br /> � <br /> � � f <br /> Applicant's Signature: ��� Date: "�i 3 y <br /> Applicant's Signature: �c.'��% ^ ,�� Date: �,���sa,��.ti.: <br /> ��/.�_ . <br /> Owner's Signature: ,� -��"'� Date: 4�//�/ � il I�I�Q9 <br /> Owner's Signature: �C.�� {�, •;�Ji;�� Date: ' <br /> f � <br /> C�TY OF QF:�.,��`��:- <br /> - 15- <br /> . � <br /> i� - <br />