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ua�►a�s�,u:saaosiaaas��e�r$r�e.e�nan��e <br /> ApPLiCAN71AGENT ANDIOR PRpPERTY OWNER: ' ' <br /> . Agree to provide all informatlon requfred or requested by the Planning Depsrtrtzent <br /> . Agree to pay additiana! fees (staff tlme not covered in the ori$inal fce payment) and/or consultant e�cpenses incvrred i <br /> review of this application,and <br /> • C�ttlfy that tFte information supplied is true and cort�ct tc the best pf his/her knowledge. The appliptn! and i <br /> recopniz9 that tMy are:ol�ly responsibla for submitting a complete applicatlon bsing aw�re that upon fa � <br /> do so.the staff has no altern$Uvo but to rQJect it untli it t�cornpiete or to ncommc�nd the r+oquest tor dental ar th <br /> request reQardloss of Its pvtential ltw�it. <br /> • The Owner hereby acknawledges anrl agrees ro this appficatfon and further authorizes reasonable entry onto the propeh <br /> by City Staff, consuitants, agents, Cammissfan and Council Members for purposes of inves�gation end verification of th <br /> request. <br /> • ApplicaM and/or Owner ackr�owvEod�e they must bo present at all scheduied revfaw mertines of the Plannln <br /> Comnnission and Coancil. If an applicant and/or awner is unabie ta attend a schedul�d meeting, pieaae rnaN <br /> arrangernents to have an authorized nepresentative attend �n place of the appfEcanUowner and advisa the C�iy Planrn <br /> assigned to your project. <br /> APPlicant/Agent Signatu � Date: �^Z�-��b <br /> Applfoant/Agent Signature: Date: <br /> ��«n� <br /> Property Owner Signature: ��° �� Date: 3/22/2016 <br /> �a a.M�t�wcar <br /> Property Uwner Signature: Date: <br /> R�CEIVED <br /> MAR 2-2 2016 <br /> sued9,��on,a�ur�xon-�anu�yzols � � � � � C1TYO�ORONO <br /> Page 4 <br />