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REQUIRED SUBMITTALS:
<br /> All of the following information must be submitted by the application deadline date in order for your
<br /> application:to be processed.
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<br /> ❑ Escrow A reement si ned
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<br /> ❑ ❑ Pre=A lication Form
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<br /> ❑ Hardshi Documentation
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<br /> ❑ Wetland Delineation
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<br /> � Buffer Im rovement Plan
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<br /> APPLIC�l9VT AND/OR OWNER: �
<br /> • Agree to provide all information required or requested by the Planning Department,
<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 /> • Certify that the information supplied 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 complete application being aware
<br /> thaf 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 /> • Acknowledge 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 Ciry Staff, 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 present at all scheduled review meetings of the
<br /> Plar►ning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting,
<br /> please make arrangements to have an authorized representative attend in place of the applicant/owner and
<br /> advlse the City Planner assigned to your project.
<br /> • Soroe or all of the information that you are asked to provide on this application is classified by State law as
<br /> either private or confidential. Private data is information which generally cannot be given to the public but can
<br /> be given to the subject of the data. Confidential data is information which generally 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 governmental agencies required by law. If you refuse to supply the
<br /> information, the application may ot be issued.
<br /> Applicant's�Signature: �.�5 I�NEwooD,eccDate: 1 z � G
<br /> Applicant's;Signature: Date: �-
<br /> Owner's Signature: Date: /����D�
<br /> . Owner's Signature: Date:
<br /> � - 15-
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