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REQUIRED SUBMITTALS: <br /> Ail af the following information must be submitted by the application deadline date in order for your <br /> application ta be processed. <br /> Not <br /> Enclo d Applicable <br /> I CI Variance A lication Fee <br /> ❑ Escrow reement, si ned ar�d Fee <br /> � ❑ Pre-A lication �orm <br /> ❑ Variance A k'ication Form <br /> i ❑ Practical Difficulties Form <br /> 0 Certified Pro Owners List <br /> ❑ Surve meetin ALL r uirements <br /> ❑ Pro sed Rfans <br /> ❑ Hardcover Calculations <br /> ❑ Se tfc S stem Site Ev�luation Re ort <br /> � I ❑ Minnehaha Creek Watershed District(MCWD) Permit or <br /> � Documentation from MCWD statin nQ rmit is re uired <br /> 0 Ad'$cerrt Pro e Owners Acknowied er�ent <br /> ❑ Data Priva Adviso F�rm <br /> APPLICANT AND/OR OWNER: <br /> . Agree to provide alf information nequired or requested by the Planning Department, <br /> • Agree to pay additional fees (staff time not cavered in the original fee payment) and/or consultant e�enses <br /> incurred in review of this application, and <br /> . Certify that the information supplied is true and correct to the best af his/her knowledge. The applicant a�d <br /> owner recogn¢e tfiat they are solely responsible for submitting a cotnplete 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 /> • Acknowtedge 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 AAembers fot purposes of <br /> investigation and verification af this request. <br /> • Appllcar�t andlor Owner acknowledge they must be present at all scheduled r�view meetings of the <br /> Planning Cammisslon and Council. If en applicant and/or owner is urtable ta attend a scheduled meeting, <br /> please make arrangements to have an euthorized representative attend in place of the applicant/owrer and <br /> advise the City Planner assigned to your project. <br /> Applicant's Signature: �� ��^ Date: �z�/�/ Z!�/� <br /> Applicant's Signature: Date: <br /> ,� <br /> Owner's Signature: Date: —1��� <br /> Owner's Signature: _J Date: <br /> �ECE11��[� <br /> Packet Last Updafed: August 20i5 page 12 ��+� � � 2�1�1 <br /> � 3 ? 99 ��no�oRallo <br />