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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 reement si ned
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<br /> � � • � ❑ Pre-A ficatiori Form ' �
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<br /> � ❑ Hardshi Documentation I
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<br /> ❑ � 1Netland Delin'eation �
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<br /> APPLICANT AND/OR OWNER:
<br /> � .- — --- — -- _ __ . .
<br /> • Agree to provide all information required or requested by the Planning Department,
<br /> • Agree to pay addifional 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 hislher 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 /> fhe property by City Staff, consulfants, agents, Commission and Council Members for purposes of
<br /> ° investigafion and verification of fhis request.
<br /> • Applicant and/or Owner acknow(edge they must be present at all scheduled review meetings of the
<br /> Planning Commission and Counail. If an applicant and/or owner is unable taattend a scheduled meeting,
<br /> please make arrangements to have an author.ized representative attend in place of the applicanUowner 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 applicafion is classified by State law as
<br /> either private or confidenfial. 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 /> ` �-,
<br /> Applicant's Signature: ���'�2����''�/`~-' Date: S �/� ::r'
<br /> Applicant's Signature: Date:
<br /> �
<br /> Owner's Signature: ��_�� �,��Date: S/�j/��
<br /> Owner's Signature: T Date: —� •
<br /> - - 15= _: - .__._ -- - - ._ ._ - : - .' :: : . _.� ..
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