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<br /> REQUIRED SUBM(TTALS:
<br /> All of the following information must be submitted by the appfication deadline date in order for your
<br /> application to be processed. �
<br /> � � , � r Not 4_� . �, � �-• - , . ,,
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<br /> � ❑ Escrow A reement si ned
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<br /> � � ❑ Pre-A lication Form
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<br /> . � ❑ Hardshi Documentation
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<br /> � ❑ Surve meetin ALL re uiremenfs shownton a es 5 - 6 '
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<br /> � ❑ Hardcover Calculation�s
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<br /> ❑ � Wetland Delineation °
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<br /> ' S ' ' � �,�,ffl �u�l � ` :�'.N'etlar�cl�Bta r�3E a�ion"' °' t� �
<br /> � E � _ ffe �ralu ��. :',, �� ,.�. r::Nx. � _�: -�:_.�, -k �
<br /> ❑ � Buffer Im rovement Plan
<br /> "-� ..❑ y �� � f� 3.:l.. �r hS. + �. '& � ,. f
<br /> ��' $ �'#�k�;; .i;�,�t;eL] �:.3 `.'° �1. .�S h a� '' .s'� C,_ Li'� �r .,�.`« X ip:Yra
<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 applicafion, and
<br /> • Certify that the informafion 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 Esccow 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 Cify Staff, consultants, agents, Commission and Council Members for purposes of
<br /> ° investigafion and verification of this request.
<br /> • Appticant 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 meefing,
<br /> please make arrangements to have an author•ized 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 dafa is informafion 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 informafion 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 applicafion may not be issued.
<br /> � ,
<br /> Applicant's Signature: �J' � � t � Date: S �/�/.:f
<br /> Applicant's Signature: Date:
<br /> �
<br /> Owner;s Signature: �� �� �,.�Date: S/�/��
<br /> Owner s Signature: Date:
<br /> - 15-
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