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�. <br /> . . <br /> REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> ;y; � r 'Not �` ` - r 3 ,- ',� Y° �M - '.* 4 '` �° _ <br /> Enc'losed= A I�cable `_� a � T .�, , � x'; �` ; � � � <br /> ❑ ❑ Escrow A reement si ned , <br /> r �;� �: z, s`�.`` E`scrow�rece'ived � � � :< � : �,: �-k::; <br /> i 7 r'v.'�'NV �M�:`V S• k^ .x: `i, - <br /> ❑ ❑ Pre-A lication Form - � <br /> � -.� � � �. _ _ <br /> �" �` A� "lication''Focm �. �, rvw�K, ` ' r '� r <br /> ❑ ❑ Hardshi Documentation <br /> �' � - � �`�, 'Certified,Pro ert ��Owriers List "' ' � 7 � <br /> . � ,. . . .. , ., ._.. ..._ : . ,. .� .: . , ..-� <br /> ❑ � ❑ Surve meetin ALL re uirements shown on a es 5 - 6 � <br /> � 3- Pro osed Plans '. .,s °" f` <br /> .,:�. � �. :: <br /> . r. . ... , .. , .. _ <._ , , ,..,.�r_ , . ;r, -. , � <br /> ❑ --------- --�-----Hardcover Calculation s <br /> " "� � .�, : Se` tic S`'°stem`Site.Evaluat'ion:Re"°ort ' � `'� ; �;�� � <br /> _. , , . r <br /> _ A . _ :. ; . <br /> ,. ,. <br /> _ �. ..�, <br /> ❑ Wetland Delineation � <br /> `� '� ti-�;. 1Netland'Buffer`;Evaluation�'2�'� j . �x" = y ` �' _ <br /> Ni ".❑ �. :i } 7 <br /> ❑ Buffer Im rovement Plan <br /> � � � s �,- t n .r y..: <br /> � - 'i -� ; �i� 4�, �-.y ..< <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 application may not be 'ssued. <br /> Applicant's Signature: Date: �� <br /> Applicant's Signature: Date: <br /> Owner's Signature: Date: <br /> Owner's Signature: Date: <br /> R�CEIV'ED <br /> - �5_JUN 2 2 2010 <br /> � CITY OF ORdNQ <br />