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REQUIRED SUBMRTALS: <br /> A!! of the fo�awing [r�formation mus# be submitbed hy the applicatbn deadline date in o� ior your <br /> applicatbn ta be processed. <br /> � � �" � . . - , � w .: � � <br /> $ ��bb�t4��� �i t ( � ,�,� � �� ,��� � � y� k x � t } " � 1 <br /> r��_,��, l�#�C��r.�sr'�; r�, � � r . ��� � � � <br /> ._ _ �-_ -'� -- _���.�__ _ .-���� �: __ �y. . ,�:�.:. .,.�,.�,_.�.�-�'. <br /> � .. <br /> �— �.ari�nr.t r,;.��li('�.,I�n t�i, <br /> ❑ C] Pre-A Icauon Farm <br /> � � PrecUcei Difficuftle� Fcxm <br /> C � Surre me�Cin AI.L uiremenis <br /> i+ ❑ Hardctwsr Calculatitx,� <br /> O Minnehahe Creek WatarShed DtSMc!(MCVJp)Pertnit ar <br /> Documentati� fro�n MCVJG s!atln nu rmit is ulred <br /> � II Deta Pfira Adviso Form <br /> APPUCANT AND/OR OWNE�Z: <br /> � Agree to provtde afl Informattan requlred or reques�ted by the Plenning Depertmerit, <br /> • A�ree to pay addltlonak feas(staif tkne not mvered In the ariglnal fee payme�rt) andlor consultent expenses <br /> Incurred In revfew af this appficatt�on,end <br /> • Certify that the Enfotmetlon suppNed is trua and comect to the best afi hisThet knowledge. 7he eppNcant and <br /> owner rscogntss that d�ey are solely rasponsbls for submittln8 a complste applicaEion b�ring aw�e <br /> that upon f�IFun to da so, the �f( hss no altemative but to reJeat it untlt it is compi�s or to <br /> rocomm�d the requoat fo�danial of tha roquest regardfess ot tts p��l� <br /> • AdcnowledBe the Escronnr Apraeme�is completed ar�d s�ned. <br /> • Tha Owner hereby admowledges and agrees to Shls spptbatfon and turtlter autho�izas reasonable enSry ot�to <br /> the property by City S1�ff, cansuttents, agerrts, Commisston and Coundi Members for purp� of <br /> lnvestigetbn and vertfication af this reque�t. <br /> • ApplG�nt andlor Owner adn�owladpa thsy mwt be prsse�at aq scheduled revtew meetlnps �the <br /> Plaming Comndssfon and Coundl. if an eppHc�nt andlor vwner Is unable to attend e scheduled meetlng, <br /> plsase malce�gernerrts to have an authorized repre�tative sttend In piar.e of the appNcsntlovw�and <br /> advise tha C[ty Ptanner assigned to your project. <br /> Applicant's Signature: ' Date: / / <br /> App[icant's Signature: Date: <br /> Oumer's Signature: f Date: ! // ��a <br /> � <br /> Owner's Signeture: ' Date: <br /> Last Updated: Jarxraiy 2014 <br /> RECEIVED <br /> JAN 14 2016 <br /> # 3 8 0 5 pF pRONO <br /> � <br />