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, � , <br /> . <br /> REQUIRED SUBMITTALS: <br /> All of the following infoRnation must be submitted by the application deadline date in order for your <br /> application to be processed. - <br /> Not <br /> �Enclosed 'A� licable ., : � ^` <br /> �_ <br /> . ,. . , .,. <br /> ❑ ❑ Escrow A reement si ned <br /> ❑ � Escrow�received . �u` . <br /> , . , . . . <br /> ❑ � Pre-A lication Form <br /> ,. ' ❑ . . ❑ ::::� A. lication F:orm ; . , , , <br /> - . ,. . :t .. <br /> ._ . . . <br /> . �... ,. _. <br /> , . . � . „ ... ,.., .•: . ; � �. ` <br /> >:� <br /> .. . <br /> ❑ ❑ Hardshi Documentation <br /> ` � � � '-�r. Cectified Pro e `Owners List <br /> ❑ ❑ �� f <br /> ❑ ❑ Surve meetin ALL re uirements shown on a es 5-6 <br /> .,�;:❑ :-:: . � .❑ :;�: F'r.o osed Plans ,. - ; .-�. � <br /> _. . . , _ �.... ., .- <br /> .,._ ., .,. <br /> ❑ ❑ Hardcover Calculation s <br /> Se tic�S stem Site'Evaluation`Re ort ` ° <br /> 1 .�i.❑ ❑ :i..> _ <br /> .x ..... "'.` r�,,:�'. , ..:� . .t", . . . ... ,.�....n� <br /> . ❑ ❑ Wetland Delineation � • <br /> `� ` ❑ _ �=:� Vl/etlantl Buffer Evaluation > - - <br /> ❑ ` ❑ Buffer Im rovement Plan <br /> ❑ ,❑ �1 ��: � �� _;; _ <br /> APPLICANT 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 /> that 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 City 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 /> 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 applicant/owner and <br /> advise the City Planner assigned to your project. <br /> • Some 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 a lication ma not be issued. <br /> Applicant's Signature: �f'� Date: � - 3-��J <br /> ApplicanYs Signature: Date: <br /> Owner's Signature: , � Date: <br /> Owner's Signature: ' Date: <br /> Last Updated: 10l16/2009 <br />