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_ . � <br /> , , REQUIRED SUBMITTALS: .. -. ` � � <br /> , <br /> .. _ .. <br /> All of the following :information must be submitted by the applicatio'n deadline �date in order :for your, ' . <br /> application to be;processed. : . . - <br /> �� ��� ' a.d�t"t''o-:` �`✓t[ *'�'. d .;«.�,.V a ...�r �.t ��„a.�P y�,�.i.,F ,�x��� x'iCa,f^ S`? ,�l'}o ! :�>x � . <br /> ,..., w � � y.�.� �... t(v �a�q���t-0������ .�. . �i1,�.�3i. . "�E� �����' t` �x' �hnF.Gl�� 9 � <br /> � �� i f�+ 1 7n r"'4 k �' 1"�+'�A ���� �������'� � 7 <br /> �� .'��C ;O�P.� �I�Cab�I���r��:';. �'�'s�i�' ����'���2%:.���`�K. ',� , ," � ','�W,,���.��;�,������iu.`����`e �� ���� �, �,���r��za . . <br /> `�s,. �-: : •: �❑ . :.� .,.Escrow;•A reemen't si ned � � -: :_� ;'- .' - i: <br /> . . <br /> •., . � . t „�; .•,.� ��a: .»Y� sx`cFU'c9+c �.n,.� s r 7 i.� ' � <br /> ' ��.�����'s.l.'���,.m'��'��s�Y.!�-S;C�"t��11/°E�tt',C���.,eL��,��}��� � ��.F�: 1� `-�: ''�'�e .�,�. � �,'�''��,��'��"�� <br /> ._.: n��{����$�.,.����.�;` M1t���'��r.�.�`K� �.:�:'��;��r��. s�!'�a:�: <br /> '0 ' ❑. ';Pr.e.A lication'Form- � <br /> Y u..� g, ��y^�} �i' ?u<�ri� �i,y, �c a � U re:r. x -*s:. +n . <br /> � � � ���''�"�'� � ��� , �A• Irca�i�o'=`°n��r ��� W�'�� ^��;��� ����� ���``��'�'�� <br /> ,.. . <br /> �����.��. ��., _. • ''. ,� _ . <br /> _.�. �-.---.n������`.�'c''°��.9+�_: .�_ _. ..___.I;_�._._..�.� ���i�P�r:+:.'�'s`�..f�4t'4�.�":t,�.:�:_x..����2,'4i!���. �:� srs,��'- c.. �Ys.: :` <br /> �:� • : 0•� `Hardslii Documentation <br /> : ; '• . .���' a .. .��'�S ; �'C��I�IeC��A��171%t��lEr�S`�IS'�'�' i J�� -�����,����s� , ^��� .. . � �� , <br /> ..�..4�5�� s r .�._ _ �.�_� �:_ _ _ �=___.����'��.,��,.a.�.�s.�� ,�,������.�k .�ti <br /> "<D , :� :. ❑ _: ' �Surve,`�. meetin �ALL;ce uirements�shown on a es`5�- 6; � � ' ; � - . <br /> r^ �r ry q� .?�c } nae�+rRhss�x ■ � r+av;§;�� �' r 'Y.rd- t �fi,i. i'r "a"y,u�"c'r� a�Y i'� sA' P '7./*,i"`� ,. , <br /> t, ����s�,(k'`��� s.�P�;�T'd,o_,_OS�'�n�;�.a`;tls#a.,,�'�, .�'�.�`, a �'��'���'.��,r���`'�,�F.a°a;''Y��c ."'`a������:��'�`:� <br /> .,r4., t a �.,:„._n.. Ihi ..'„�,$'H� `75.�r.r <br /> '�0 �- ❑ �:Hardco�er;Galculafion s . . . - <br /> �r� u � tT -a � a. <re+ ���. a�' �.� -•.r.u.� 3 �r�r +##� r�i �-"� �, 3� . - <br /> �^ p� �'� y�, M a� ��`��g°Se�"#��'�S�sf"m`���t``�'Ear�?��ua�ion ��o� � ' „�� -�4, �� <br /> � ,r� <br /> ��+n � . ��a�k� � w r.,a F <br /> ' ' � r�.�.�._._x�w.4r� r� .n__.v.._.. _�'�i. _ _ .. � _._�'d.`F�s.�+?'"rs.h.�'#����=��,s.i'?L$x,.�c� �G.ms.'*^�:.��r'�"`x2�aw.� <br /> �..:. <t,_ - - <br /> � . . <br /> � ' < :p ., . ' ;,�: .❑ ;.:;-; �UVetland��D.elineation'. <br /> . } <br /> `• -� � ,���'�s+ . -fit :,��:�K�,,�;s���j.�'..�,u..wr �. "5 � r.:HZ�-»swNaac �aa���� �r"�. �.a���������i����9t+k." f.�e. r . <br /> ` ..�'.��.���''�� p t yiV��Cl�(a�d���:�e_,.r,.�_ua.l,�?a�aon �-���A�-�<_�.� 4 #, � �,���m�a��w.` .+ <br /> . `�� :❑ ' ;Bufferolm ro�ement:Plan s.� ,�w � - <br /> �� ,.❑�„� 'j� 1`�'���+,��.zi�k'�:'�,.5 r.�?�.^��.�.���',` ..�,`���r r° ,�����F�"z�..°ir.�.,�a��. �k r'�w.1.;,���5.w`,''�'.SI���' .aiti�k����..�.....����, ' <br /> c � � �# - ,,�, <br /> ; APP�LICANT AND%OR:OWNER • '' °` 4 .��: � .�:` . .ti h � <br /> , _ . � ,:� ; ;. <br /> �, •"�. Agree to pro�ide all infor.mation required or requested by the Planning Department, � '�� <br /> { . ...�:�, #j . ��' •� <br /> .:. ' . _:, ,.A'. ." '.r: .;,...: '.:�. .FS. . . t , <br /> � •"� Agree to Pay atlditional:fees (staff time not�covered°in the onginal fee payment) and/or consultant expenses <br /> � - incurred m:review:of this application, and a l � ' , ' <br /> • Cectif.y.thaf the informetion�supplietl is;true and corr.ect to the best of his/her knowledge ,T.he appl�cant.and _ <br /> ,:; .:._: ,_ ... _ ,. .. , ..,. .. . . <br /> `, ,.owner.eecogn�ze that fhey:are solely responsible for submitting a�:complete`application being�aware <br /> ,� , ;. .- .:: . <br /> �,, that'upon;failuce to do so,"`the staff has no .alternafive 6ut to.`reject it .until :�t is ;complete or°:to <br /> � � recommend the,cequest for den�al of xhe request:regardless of�ts�potential merit: r � <br /> ; ,.. ,. ,;^ �, � ,.,, = ;, , s <br /> , •,�. _. , � _ <br /> . , , ,; , . , ; <br /> + . Acknowledge the Escrow Agreement is completed and signed ' x ; ` G <br /> �� n � � .� . .. , � :� � r i.i � ,� �: � .� > ; ". �:; .: Y . �; <br /> , :" The�Owner hereby acknowledges antl agrees to:this application and further aufhorizes.reasonable entry onto <br /> ; , . . <br /> � • �' the',pr.operty �.by; City":StafF,` consultants,�"�agents,:;Commission and;�Council.'Members �;for ,purPoses -of <br /> ` investigation and verificafion of'tHis;request. =' - <br /> :�� Appticant*:and/or Owner acknowledge they.inust be spresent:at all scheduled review meetings of�tfie <br /> ,_ . ... . . � . <br /> � � ' ``Planning Commission:and:C.ouncil. If an applicant and/or owner�is unable to attend a scheduled meeting, , <br /> :, ,,._ .. . . _ _ _ . . . <br /> „ .: .P. ;please make.arrangements to':have�an autliorned`representative attend in��place of,th� applicantlowner and <br /> : _ .. � <br /> s � � adv.ise the City.P.lanner assigned to your�project ` �i <br /> , <br /> . .,.. . . ,. . ..,, .. . . . . � ,. . <br /> . , , : . ;. . , .:. � .. . . . . <br /> ;. „ . . . <br /> _ <br /> ..;1 .Some or all�of the information'that;you are:esked to provide �on this.application is classifed .by State.law as <br /> � . ` ;'�eifher'p�ivate�or confdential; Private data�is information which genecal(y.cannot be given tothe public but�can <br /> ,, <br /> be:given:to.the,su6ject of the clata: Confide"ntial data is�information which,generally cannot be,given�to either <br /> _:° ' . ���the public oc'the subject of the data. 'Our,purpose and intended-use of:this information is�o annually update <br /> �.. _ , . <br /> our .records and records of other governmerital agencies required by law,�; If�you refuse to�-supply.:the <br /> . � `information,the a lication.m�a =not`be issuetl. - - "�' • '-<�` <br /> '• = ` The Estate of°-Ralph Colt Bagley . . <br /> Applicant's,Signature: �� '.,��j,fj��� Date 5—�2 s'���� � <br /> Applicant's�`Si.gnature: t��s �`�o�.►��.� . Date: � � <br /> _, ,., . . . . , <br /> . <br /> � � , <br /> �.` ,Owner's Signature: ., ,_ � � �Date <br /> � Owner's Signature � ` -�- . .. _ ,. , : - Date � . c�icc►ceemer� .. . <br /> . ., - • . w . . . . . . i. . .. , � . . ' . .. ' �. <br /> . . . . . . ..: . . �- . � �--... . ..� � ',,.. �. ..�. . .. _ .. . . � . .� . <br /> - . � � � r MAY 2 7 2010 <br /> Last Updated: .5/11/2009 . , <br /> . : <br /> CITY O�' ORO�NOa . <br />