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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 Agreement si ned .
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<br /> ' ❑ ❑ Surve meetin ALL re uirements shown on a es 5 - 6
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<br /> APPLICANT AND/OR OWNER: . , - ;.. . .. , .
<br /> • Agree to provide all information.required or reguested 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#or submitting a complete appfication 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 /> - , ., . . .. - _ ,;, _ ..
<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 Gouncil_ Members for purposes .of � �
<br /> investigation and verification of this request.
<br /> • ' Appficant and/or Owner acknowledge 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 meefing,
<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 ]aw. If you refuse to supply the
<br /> information, the a lication ma not be issued. �
<br /> Applicant's Signature: Date: .
<br /> Applicant's Signature: Date:
<br /> Owner's Signature: Date: --� -a�-p �
<br /> :l Owner's Signature: � Date: 2
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<br /> Last Updated: 5/11/2009 ,
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