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REQUIRED SUBMITTALS: <br /> Afl of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> Not <br /> Enclosed Applicable <br /> � Variance tication Fee <br /> ,C�!" ❑ Escrow A reement,si ned and Fee <br /> ❑ Pre- lication Form <br /> 0 Variance lication Form <br /> ❑ Practicat Difficulties Form <br /> ❑ Certified Pro Owners L:ist <br /> ❑ Surve meetin ALL re uirements <br /> ❑ Pro ed Plans <br /> ❑ Hardcover Calcutations <br /> O ❑ Se tic S stem Site Evatuation Re rt <br /> ❑ ❑ Minnehaha Creek Watershed Distrid(MCWD)Permit or <br /> Documentation from MCWD statin no ermit is re uired <br /> ❑ ❑ Ad'acent Pro Owners Acknowled ement <br /> � Data Privac Adviso Form <br /> APPLICANT AND/OR OWNER: � • <br /> • Agree#o provide all information required or requested by the Planning Department, <br /> . Agree to pay addit�onal fees (staff time not covered in the original fee payment) andlor consultant expenses <br /> incurred in review of this application, and <br /> . Certifir that tfie information supplied is true and correct#o the best of his/her k�owledge. The applicar►t and <br /> owner recognize that they are solely responsibte for submitting a complete appiication being aware <br /> that upon failure to do so, the staff has no altemative 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 City Staff, consuitants, agents, Commission and Council Members for purposes of <br /> investigation and verification of this request. <br /> • Applicarrt and/or Owner acknowledge they must be present at all scheduled review meetings of the <br /> Planning 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 applicanUowner and <br /> advise the City Planner assigned to your project. <br /> Applicant's Signature: Date: �.�-'�Cj—) (,P <br /> Applicant's Signature: Date: <br /> Owner's Signature: Date: �((r, I f� <br /> �..�. ) <br /> Owner's Signature: � Date: �/�/( � <br /> RECEIVED <br /> FE8 � 7 2016 <br /> Packet Last Updated: August 2015 <br /> P� �2 � � � J� CITY OF ORONO <br /> # �f <br />