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REQUiRED SUBMITTALS: <br /> All of the following information must be submitted by the applicatian deadline date in order for your <br /> application to be pracessed. <br /> Not <br /> Encl d Applicable <br /> ❑ Variance Ap lication Fee <br /> ❑ Escrow A reement, si ned and Fee <br /> ❑ Pre-A lication �orrn <br /> Variance A lication Form <br /> ❑ practical Difficutties Form <br /> � Certified Pro Owners List <br /> ❑ Surve meetin ALL re uirements <br /> ❑ Pro osed Plans <br /> � Ftardcover Calculations <br /> 0 5 tic S tem Site Evaluation Re rt <br /> � ❑ Minnehaha Creek Watershed �istri�t(MCWD) Permit ar <br /> Documentafion from MCWfl statin na ermit is re uired <br /> ❑ Ad'acent Pro e Owne►s Acknowled ement <br /> O Data Priva Actviso Form <br /> APPLICANT ANDlOR OWNER: <br /> • Agree to provide all information required or requested by the Planning Departrrtent, <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 /> • Certifjr that the infoRnation suppiied 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 compiete appfication being aware <br /> that upon failure to do so, the staff has no alternative but to reject it untif it is complete or to <br /> recommend the request fvr 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 author�zes reasonable entry onto <br /> the property by City Sta#f, consultants, agents, Commission and Council Members for purposes of <br /> investigation and verification of this request. <br /> • Applicant and/or Owner acknowledge they must be p►esent at alt scheduled re�iew rr�eetings of the <br /> Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting, <br /> piease make arrangements to have an authorized representative attend in place of the appfCanUowner and <br /> advise the City Planner assigned to your project. <br /> Applicant's Signature: ��� Date: �Z,/���'!�/S <br /> Applicant's Signature: Date: <br /> 9 �� <br /> Owner's Signature: Date: ��/��j��S <br /> `T— <br /> Owner's Signah.ire: o�,� Date: ��—�S"—�� <br /> II— <br /> RECElVED <br /> Aacket Last Updated: Aupust 20i5 11[C q � ��y�� <br /> Page 12 V� f U <br /> # 3 7 9 g CITY OF ORONO <br />