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� <br /> REQUIRED:SUBMITTALS: <br /> All of :the following information must be submitted by fhe application deadline date in order for your <br /> application to be processed. � <br /> . _ � L �p y`h dw y•.� F'°v.� !! .?qLr�r� - . . ann«.� 1 . �'y �.,'tu§,in . � ,�,��,�, � L yn A.. � . <br /> � yi�k��� F �r �^ � � 6. �.��� �1. <br /> � E�ta,,c�ose.��_� �A _ ,I�t��`�., `�'� ; �. � . . <br /> - e •�..�,. .,��.��: �`s�,.�,�.:� �,. .•��;� ;��... <br /> �a�. �, :' .� ❑ . .µ Esccow Agr.eement si ned �, �y <br /> � ��, ,'` ���' ' ^� <br /> . � ��'�°rm.�.�'^i`��' .d�l55Jr+.r-�yV��i..P+�,.L�,1���.'L"k�����.r-�s�,� - .m ��`�fp����3'"'a�1, r#�,..�t'"���}� .�. � -. . <br /> :__ � :. - ❑ . �, ;Pre-A lication Focm � •, ' <br /> � ����r��.��'�� �� . ��� ��ca'`�_,.io�'�FoT��;�, ri�,�. N���}t��,��������������;�; <br /> : � : :. - . ..,.❑ ..� Hardshi :Documentation --. , � - : . <br /> �� �.� �C���e�.�,o��_ �w�ner Lis�t' � ��� ��'�` � �'� <br /> . . ... .�_.....� �' r � . L . .I r ..'.. <br /> � � `� ' ° ❑ SurVe meetin ALL're uirements shown on a es:5 6 ` <br /> . <br /> , . � . ,: _. <br /> .i � ar.�ura� r..` . � . <br /> Or` ��'�.o ,ose��,.�P)an�.s � �� _ ���' �.�„�,.�����.��.�..���,���� . <br /> ` �0 � . ❑ �- Hardcover Calculation s . <br /> �� .'A'Y" -�� ` SC?�'v°�'T. 'FLT1R '�Yf'k�bYL'�TI � ya s{,n'.�p' . - ' � . <br /> " '���;,�'�,����i,�. = r�te��•s_�ts,�Eval��t��:�� e oa��.�'+�'. � ;�'���.�.��a' > ` �..� ::� <br /> � ..- . . ___.___ <br /> _- <br /> � ,.. .:� ; ; . Wetland Delineatio� � <br /> ❑ H <br /> � . ., _ _ , <br /> - - <br /> , , �' , ,. ,I� ` ' t''e�'an�d�B�1`�f�T�"Eu�al'u�a`��or������ �� `���'�'��; ,�j� <br /> ' .- w_�. ' ..t. Y �� j'� �f �n`u�� . <br /> 1 <br /> . _.. <br /> �..L..-.i.. � .�..L ..1_._.-.._.__ _ 'h a � A�r+eNr'r �. . <br /> ' � "❑ 'a �Buffer:lmprovemenYt.Plan � _ , <br /> }� '1 t 'S.. ���5l�F'�� .iS..��p � .Sn��^RT�Y���'Ai���.�.�'ik�S����(mV:T'a. '�!'".+YQZ ��y�.KU���i .�� H{�q... <br /> . . P����'g�i��CY_ F�JP3��'�}`*O^� . <br /> APPLICANT AND/OR OWNER: . <br /> • .�aAgree to provide`all inforrnation required or requested by.the Planning'Department, <br /> • ":`Agree to pay additional fees (staff time not covered,,in the original�fee payment) and/or consultarit expenses <br /> . incurred in review.of.this application,:and �� ,- : ' � - <br /> � ��: �Certify ttiat the information supplietl :is true�and correct�.to#he best of�his[her knowledge. The•applicant ancl � <br /> . ., ., .:owner.recogniz,e:that they are solely.responsible for submitting a complete,�application'�being aware. .;� . <br /> - .�.that�upon' failure to do so, the�sta'ff .has�mo.alternative`"but to �reject.:it'.�until it is .complete or.to =� <br /> . �. �recommend the.ceguestfordenial ofthe request�re.gardless of ifs,potential merit., � � � � <br /> • Acknowledge the Escrow�Agreement,is completed and signed �; � <br /> � .�� , , �, <br /> • .•�The Owner hereby^.acknowledges and+agrees to�this application and further authorizes'reasonable entry,onto <br /> :. ... .. . �. �.: <br /> > the property�.by:City��Staff.,'_.consultants,"�agents,'`Commission;::and,-;Council Members for purposes:of <br /> `investigation and verification of this request.- . 5 ; � <br /> . .. .. ; . _ ,. ,. , <br /> �� �Applicant'and/or 'Owner,acknowledge they must be p'resent at afl scheduled review meetings of the � <br /> `. , :�'P.lannm,g .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 /> ' advise the City;Planner assigned to your pro)ect__ <br /> . ... . , . . <br /> , ;. <br /> .� . . � .� . . .. . .,-.. �._._..�......� -, ..... ......_. . ,.� :. ..-,� r. <br /> • -��Some .or.all<of the information that you are:asked`to. pi-ovide�on this,application�is classi.fied;by State law as <br /> °':either privste or confidential. :Private:data is'information�which�gener.ally,cannot'be given to tlie 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 a lication ma not be issued. <br /> � �'� .._ <br /> Applicant's..Signature:�� � �� �z� �Date: �,Q;,,�� ��� �010 � <br /> Applicant's Signature: ' �:E,� ` Date: . �.: , <br /> Owner's Signature: � J',o�uF ,rs ,aBoyF ' .Date: : . � <br /> Owner's Signature: : , Date: �. . . <br /> -. � ,,...� .. � , .._ � <br /> . _ -.;`j°_ . ` - • <br /> . � _ . �������� . <br /> Last.Upiiated: 5/11/2009 r._ .� <br /> .. . . . .:,-,j . JAN �.5 2010 <br /> a+CYV n�n nn r.�r. <br />