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<br /> REQUIRED SUBMfTTALS:
<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 /> � ❑ Pre-A lication Form
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<br /> � ❑ Surve meetin ALL re uirements shown on a es 5 -6
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<br /> � ❑ Hardcover Calculation s
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<br /> � ❑ Wetland Delineation �
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<br /> APPLICANT AND/OR OWNER: ,
<br /> • Agree to provide all information required orrequested 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 suppfied is true and correct to the best of his/her knowledge. The appticant and
<br /> owner recognize that they are solely responsible for submit#ing 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 /> • Appficant 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 applican�/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 a licati n ma not be '
<br /> Applicant's Signature: � Date: � � �l�
<br /> � �
<br /> Applicant's Signature: � ' ; Date: � 7;'�
<br /> . � � �� � �
<br /> Owner's Signature: Date: r lb
<br /> Owner's Signature: . Date: ���`��
<br /> . 9�ECE1�/�!�
<br /> Lasf Updated: 5/1,1/2009
<br /> AUG 1 9 2009
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