REQUIRED.SUBMITTALS: � � '
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<br /> All of the following information must be submitted by the .application .deadline date in order.for your .
<br /> apPfication to be processed.� . � . .�' ..�'��� ;� ..
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<br /> ' `• ❑ � Escrow A reement signed �
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<br /> , .�� ,. ;,� p• .._ > "P[e-A lication;Form , ., � . �:��
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<br /> �. :.-�=1�� ' ` �'.❑ .: S.urve meetin ALL' re uirements.shown.on a es`5�-�6 •
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<br /> `-�, Y " •: �Hardcover.Calculation s � .
<br /> �����3�.���:.� ��"e�.�-�,r�S,��e��Si�t�r VaJ na#`to'Re'�`ort ` �' �'�� -� ��.��t �� ,��� ��
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<br /> 0. - 'VVetland:Delineation:_ ;� ,_•:
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<br /> _�� -�Bufferrlm 'rovernent'Plan . .
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<br /> ` APPLICANT ANDIOR OWNER = .: � ' . _
<br /> ,. �� . � .. ♦ -'� -� � '. �:�, { Y. S Y. , �y : } r� f � �
<br /> •; Agree to�pcovide.all information'required or requested by.the Planning D;epartment, < � '
<br /> ` ` ' x • Agree to pay additional fees (staff time not co�ered 'in the�onginal,fee paymentj�and/or consyltant expenses
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<br /> ,� .' mcurred in teview.of th�s�application, and �� � � ., � ' ;z � � .: � � , �
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<br /> •.. Certify that�the information su'pplied is'true and correct.td the best of hisLfier`knowledge The'applicant•and
<br /> : oVuner recognize that:they.,are,solely responsible for:.submitting a completetapplication�b.eing,.awaee
<br /> �,� � that upon failure,to'.do so,::�the�;staff has;no alternative .but tto. reject°it. until.;it is �;complete or to � :
<br /> � ; � recommend the'�request ford.enial.of the'request-re.gardless,of its p.otential merit.-
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<br /> • '� Acknowledge the'Escrow:Agreement.is completed and signed ., , t
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<br /> •,,' The Owner_hereby acknowledges and,.agrees,.to this application�and further authonzes,reasonable�entry onto
<br /> � *the ,�;property by City��Staff, ".consultants;��:agents, Commission�:;and ;;Gouncil,; Members for:�purposes��of
<br /> � tnvestigation and verification of.this:reguest. � .
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<br /> A� ficant;°and/or;Owner acknowledg " ' `'"
<br /> • pp ` 'e they musf be present at all scheduled review�meetings of the
<br /> `. Planning.Commission_and Gouncif-r�lf an;applicant.andlor owner._is,unable°to;attentl>a scheduled,_meeting; "
<br /> '�,' please make,arrangements to�hsve:an,�autho�ized representative attend in place of-the app.licant/owner and
<br /> �- .advise the.City Plannerassigned to;your project ° ,::a��
<br /> • � Some or all of the iriformation�:that you are asked to provide .on'this application�.is classified`.by,State law�as `
<br /> ` either private or confdential ,P,rivate data:is information which generally:cannot be giv.en fo the public but:can x
<br /> ' be given, `to the subject of.the:data:• Confidential;data is information which generally cannot be:given.��o either
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<br /> •.the public or the subject of the data:,0ur purpose and intended�use�of this information is�to:annually update =:
<br /> ; � _ �ou� :recocds,and records of ,other'go�ernmental;agencies required by. law �lf you;,refuse to supply;:.the
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<br /> information,�the:a lication� a' not be issued. :. ° ' " °� � �
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<br /> : Applicant's„Signature. � V�: �Date
<br /> � �-A Iicant' �������� � y _
<br /> pp; s Signature: � �Date. _ . .
<br /> Owner's Signature: .. . G��`�' `�' • ' �Date: . .`�'-����
<br /> Owner's;Signature: ' ':.: .. - ., : : . :Date. �� . . s
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<br /> Last Updatecl: 5/11/2009 "ti . : ; • : :
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