|
f" , �....., •
<br /> REQUIRED SUBMITTALS:
<br /> All of the following information must be submitted by the application deadfine date in order for your
<br /> appfication to be processed.
<br /> s��s,�,,�r K�� � ,.,,�t[ �+�
<br /> ' y'�y�"`r���,�Ci ""M�I`+Fl�d '3��'. Jini. , � �'�LLT►7 S_�i �. ��'t...y � � �. r-' �. t� ri-Cr 'E ' ..
<br /> °'3E11 T +�*?$�'� x �. �� q ` .� ��" ��'��yy ��.7F.�"��" 'tc?r
<br /> �,'•S_'�'� � ��Q_•,.. 1a ...tr:. � �n.Kw.!b +:,etin.ir.'�'.S� taY �✓r':: �">r..i fN' .:;Tir ..�.�1�r_r_.s7�����p 4,�f+,%4i.
<br /> ❑� F�scroinr A reement,si�ned �
<br /> �� re� -w�� �g�� aR. •>,,pa��_.�_ q�}} �•..�
<br /> S::�x'✓'Y. ��.i���F'G S6�'+.�� � .}������M��•^ ��.li� �' 7r ti,'
<br /> �{�, � � ❑ Pre-A, fication Fo • ������?�.
<br /> �r^r�� f ... :�1' -�u �TM���. � ��r�e+. �' " . .
<br /> ... . �9Ly1� � ,. � . .�. W��+..'T•c.
<br /> � ❑ Hardshi Docume�ation
<br /> {,��� N„n,.. ,.•-�x�. .
<br /> �_..��°"m . `�ari!F�.'�`��L�`s� .. ., . , . . . L: � . .
<br /> � ❑ � Surve meetin ALL re Uirements shown on a es 5- 6
<br /> ��� - � _ _.�. "��� �
<br /> _ ., _ . t..' �. .e�..,
<br /> � ❑ Hardcover Calculation s�
<br /> x.. �,.,.. ...
<br /> :, ,:i . . ,. ., -. , . ��:,. .
<br /> 9 . �. s'��1�3�ID_. DL� ,
<br /> �
<br /> . ,.... ..
<br /> � .r . . . .;�a..� - ' R ' ' .
<br /> ❑ -- ''S� :� .¢�Y.v�
<br /> �. _ .._ . . . , � - .
<br /> ❑ Wetland Delineation
<br /> - _ �iatii�' -
<br /> ; , �..
<br /> � ❑ Buffer Im rovement Plan . �
<br /> '�..::
<br /> � �.
<br /> �. �
<br /> APPLICANT AND/OR OWNER: �
<br /> • Agree to provide all information required or requested by the Planning Department, .
<br /> • Agree to pay addi�iortal fees (staff 6me 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/hec knowledge. The applicant and
<br /> owner recognize that they are solely responsible for submitEing a complete application being aware �
<br /> . � that upon failure to do so, the staff has no alterrtative but to reject iE until it is complete or to ' ��
<br /> recommend the request for cienial of the request regardfess of its potential meri�
<br /> • Acknowledge the Escrow Ag�eement is completed and signed. -
<br /> , • The Owner hereby acknowledges and agrees to this appfication and further authorizes reasonable entry onto
<br /> the �.property by City Staff, consultants, agents, Commission and Council Members for purp�ses of
<br /> investigation and verification of fhis request.
<br /> • Applicant andlor Owner acknowledge they must be present at all schedufed review meetings of the
<br /> P{anning Commission and Council. If an applicant andlor owner is unable ta attend a scheduled meefing,
<br /> :: please make arrangements to have an author.ized rspresentafive attend in place of the applicant/owner and �
<br /> . � advise the City Planner assigned to your project. . � .
<br /> . � • Some or all of the informafion that you are asked to provide on this application is classified by State !aw as
<br /> either private or confidential. Private data 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 generaliy 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 governmenfal agencies required by law. If you refuse to supply the
<br /> information, the appfication may not be issued. . .
<br /> Applicant's Signature: Date: Y�<<D !
<br /> Appficant's Signature: Date:
<br /> . {�
<br /> � Owner's Signature: Date:
<br /> Owner's Signature: Date:
<br /> - 15-
<br />
|