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�Qu�o suB�rrTA�s: <br /> p�! of the fo1{owing lriformabon must be submitted by the applic��on deadline date M order for your <br /> appl3cation to bs provessed. <br /> �,�, . �.�:: ;.: . �s:.- _ �;�-w . . . . .. . - - � <br /> `�..�� �� f_ _ _ . <br /> Enelo'sed .}►P �._ " . <br /> _.. ....: <br /> D Vana�ce licet}an Fae , . <br /> ,p =�; , ' a'h .F""ee - .. .-.v - . - <br /> p catMn Form , <br /> °�.7. Y�iaitCe _ n Fb�'in �..' "� ;�,. <br /> p v Practica!Difflcxitdes Form ` <br /> ti ,.. , .. ..� <br /> 3_. _ . :;�..Qeitified'P. .�,, -;� <br /> p • O Surv ALL uiraments . <br /> ' ;N.-- - „- �- _.,�. <br /> . ;Pr�' <br /> p 0 Hardcover Galc�lations <br /> D =` - aa�7. _ �So_., 'c: 8its_ .. ' .,, . .. - . : � - ,._,, :->>�� <br /> r. . <br /> p Mlnneheha Creek Weterst�ed Dis�d(MCWDj Permit or <br /> Documentati�on irom MCWD statin rm is u�d <br /> ``� - -`Y1:a.� . � . . ._y., ,�. .y:..�.,�� <br /> .��,".p Ad " R `i�wrter�;�4io <br /> D$ts Ptiv Adviso Form <br /> APPIJCANT AND/OR OWNER: <br /> • Aqree to p�o�lde�1 irt�or�natbn required ar requ�ated by ihe Ptenninp Dep�dmeM+ <br /> . A��ea�o pay additional fiees(stsfl`time not caverod in ihe ariginal fee PaYmentj anNar oor�itant exp�nae� <br /> Inaxred in review af tttis appNcatlon.and <br /> . CeN1y th8t�e infortnatbn s�ed is tNe and correat�o nl�b�t of hidher kno�wledge. The appik�nt and <br /> orraar esc�nixs tf�at thsy ae+s solsty r'�Po�siWe for submtttMg a ownP��Pl�tcatlor► bein� awan <br /> that upon faitura to do s0. the �aff hss no albernstiw but bo r�j+oct It unttl it.is ComPleb ar �o <br /> roaant�d�rrquest 1br dental of tf�r�quest rryardl�s�oi its pot�Mial m�it. <br /> . Acknowledya the Escr�ow Apreement is�ed end signed. <br /> • tr�e owner nereby ac�cnawtadges and a�es ta thle appacaflan ena nuther eua,orizea ree�onab�e ershy or�o <br /> the ProPerlY bY CItY S� c�nsuttstt�ls. ege�fts. Commfssion and Gourx� Membeis for purposes of <br /> invastiqatior►and ve�iAcetlon of d�rsqasct. <br /> • p►APlicata ancUor OwrKr acicnawEedg�theY enust b� P�esent at a1) sahst�tl�d rs�Aew r»setings of t!w <br /> Plan�p ComtNe�ion�d Couacii. If an appU or awner i�un�ble b atter+d a schedt�sd mvetln9, <br /> pl�e malt�art�r�gementa to have an auth d rep sentethre at�end�place�tl�s applic�nt/owner snd <br /> adv}ss fhe Cih►P1enr�er esaipnad 10 <br /> �P�canrs s�re: �at�: rz> � <br /> A�,�c•8 st�ar�ue: oate: <br /> owner':sEgna�s: oa�: �C� �Z o/�f� <br /> o�re s��: 08�. 10 l ar� /�s _ <br /> ���►:���,� �c�ivEo <br /> ,�_ <br /> ��r � � z���� <br /> ,. <br /> ��oR�o 3� 95 <br /> � <br />