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. , <br /> REQUIRED�SUBMITTALS: <br /> All of the foliowing information must be .submitted ;by the appiication deadiine date in order for your <br /> application to be.processed. <br /> .`;Sa' �,a .x,..,���r�'���G'IAQ'L�?�.��`y'1� i�'^b��Jt��7Yi.at7.t��o�S.ix3v2aY;7i'a'fr`,'tvt'-?�,}:1�s''i���y°� '4 P,y,y.,:4,I�2�4!��';�S�y� -.:rt-f� T 'U� +"y=SX+�''��'� ri - W:*� i} .r: <br /> � -. y„ � ,d�+ �.�,- j..h � .+ n: �*"�t��2� � . � ^- �����.A` Sa R�t�'S� `��a ya��� .�<e; <br /> ,1;.P��;��'n ■`.-:.�.�.� s.. � .A a. Y ro ' .l�'a. =-t' �f.,Y n�. ��',e� w' y �' <br /> �f._`��''�&�',n'�Sg�,��� .�?{�rnc �f � ,����'y. ,��k�q,j�^"�� ������F:'�' j�""� ,r� ',�'°"� d�,,�� t+r�ir .�r,m� ��,„�.`.�`�,s$iY'�J. C x�L. <br /> �l�� Q_�i��'vl i�!a� ���i.'�l'JI.�i���������aa'�.. �'x.�'t��.���i�•' 5����,,?��2�'���(!�'�tA.°u x Ss�•l� 1;�.',!�'�_•=,��Y 3`��"'ti 4"'s45'a' 2�� f�� � <br /> - ''__ . ......1..{, . �""°;LQT,r�s9,Si1..r.C�"i „�.��:r�,n1�,,,�eL.'-¢45"ut.ixa.,.f��%z'....,y-'rf��.'.�.�x.�t��?.�el+.�x"'-r'''.�`xf'�'�� ��'- ;a� ��. .�. t�+- <br /> _ •t N�?�.Y.�M4 �q�;+.r hww'tt'L. '�`.� <br /> � ❑ Escrow Agreement si ned <br /> lt��-� .��u•vmr�-w,�-� xy4.._n sac.aune6,'H:+a�v�ras+ rccra..d'^}7 �;1.a � . <br /> .w3�i �� T� �xE`'''��,�4?--. i,. �i'i.14'Y �.,.FZ a'� "e "�' �-A �,J�F � ��� y,i';' '��'�r�w�L 4'�`�'Ki,a� r µqc�S'yr��.� '�;ru, <br /> ��f�2�--��`�.M iA.�c���:��. �.v.7 ,�""�"scrow;�e�e�r�ed��.,����.�_����:,� �,.-�d�fF�.�=`�.�'�.�r r:,c�Z:�7/1_ k�..:��G�2�ta,1:��:'T��r.roh_..�3i*s.. <br /> ❑ D Pre-A Iication Focm ' . . <br /> � �J� � ���i�``3«<�a�""' y�c+��w. ��zaa:r.y, -� :axzy.{ �, x �r �r �' - �� ��. <br /> ���������;t�..�"�?+s;��A° r.CaflDtl aF�Trn - =�,��u'��-�- y�'�.-���a�"'�1.����"'�-��,�,�,,,�z4a�'.f'����,�� J�t'f;,��� ' � <br /> . -�'�a ��Si�..K`✓.�..�y.. .. ��fP�#.�cU�-i.,tt3�,r1� s.�� ;A. .X.�li� . �n.�1th... <br /> �'y`0 ❑ . �Hardslii Docum'enta'tion . <br /> - � ''.�'"',�1 �',c � "v.+ 3+a.�i�:a '�,�' " xxf wy,; ...r�,r ue�.m 1;� '+�Yeaat�s.�,uiryY n z .t s �. v:i � . <br /> ��.; �.����������_..�������..�?�i�'��f��r� e�t,�Ouu,�e�s�L�is�t��'�������'�,��,,,,��*�����,�,����������".���,�:��� <br /> � ❑ Surve meetin ALL re uirements shown on a es 5 - 6 <br /> a�n+, 't�' � F c l: j � -.w a �r�^zr.� i �iR sa� ',. '*, r-� 7� ^2 c �ze x � wu ,r'y..t t�• <br /> r� ��>�`s�4E�;�������.���'�o .oser!�,Jans��.�"�`���==�,�{��uyf �;�.���;�.� �,��ySc}� �° ��ti� �s-�—�°,��`' <br /> . 'f+7_.._t._ Ar;,, r WY.�i�i�:..r��.ati��:±.�,.r�7tt..d�.ty��ir�p`_`.S�,a(.�47';:�'�'.^��R's.�ri.,C,r.11��r�ttd4.,iY..�.:�h+3.�t�;�. <br /> . � ❑ - Hacdcover Calculation s . <br /> ���p.�'`:� '����'�,�:�����;��g'Se �a�c�S�'�ern��S�ate�u�luaf�ori�e`��o:��'��'.:�c��`�';;�-,.��,��,-�;����:,��.,����� :;��� �.����, �:�., <br /> - ,- _ _. . _., . _ .�t������ ..�,r.�aa�:,���x ,...�s���.�.�,.�:.��;�3� <br /> . _0 , :❑ � 'Wetland Delineation � �� �, . ,. ` .. . .:: <br /> � � �a r�,�.7''§rc 7� � b.n . �Lav n=' a wFV. 'xx4�{�W'-n'+r t.1�r 4..ti'� v+�,a.' <br /> e y u'r. .�u � y _� �r.�� � l 9�, Si• , " er 7" ti�nt ',t^� t$ iG" � rr-• � ' ury+a i . <br /> ��..`'�������,���: ��.L,. �e�lancl„Buf#er�Eu�luation�r�',�,'^W°� F�;�°���,��� ��.:�,��.�.r�,p��-��� <br /> .... ..... ___�_., -- --- ���. <br /> .. __... � �. .. . ..��1�!..�� �i.s.�'^.�.�t�4.,. �e.�ti.� ���"' �...r�rl�..,r&v:�� ...i:�:+l�eN�'3.4«� -*�i S. <br /> � " `� ��"�0 . :Buffer'Im rovement`Plan: �� . � <br /> ��� +�'� ,��, ;t F��� � � � � w� �`.� � ; . -�-� ��i �g~��-0��� <br /> i.....� , x�ix'S a�'�"�`�,�����r��+...�c�?`���. � 'r��4d�"��'�c".���.�..+i����ii�'.i7ik�.��,:���j:�'fi r�.�e�`�r�r�!���:.�! �,!�+.��C ri���;�fi� x�s..�. uc,..'�._, , <br /> ' :APPL'ICANT AND10�R�OWNER: � . <br /> �� � Agree�to pco�ide.all,information required or requested by�the Planning_Department, � <br /> �� '. Agree�to�:pa.y additional;fe'es �(staff time not covered in�the original fee payment) andlor consultant expenses 'r <br /> , ; . <br /> `� � incurred in re�iew of_this application, and �..� ; _, , '- . ' <br /> �_ Cer.tify thaf.the�information `supplied is true end correct:to'the best�of his/her knoVUledge.�,`The.applicant and� <br /> .... <br /> � , ,.owner�recognize:that.they:are solely�responsible for:submitting a�complete�application:being awar.e � ` <br /> •.; . that,:upon :failuce°.to cio s'o; the staff 'has <no .alternative .but;to .reject :it <until :it�is -complete or to �, - <br /> . _ <br /> recommend fihe eequest.for denial:of tFierequest:regardless of�its�potential.mecit. �� ' <br /> • Acknowledge the Escrow Agreernent is completed and signed . ' � . <br /> :.. . . ; , . . ,. . ,... . . _. - :• ,,, . .,. <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 pu�poses .of -c ' <br /> :� investigation and �ecification,of this ceguest. �`' ° • <br /> � � Applicant;and/or Owner acknowledge°they must be pcesent at all scheduled review meetings ofi the <br /> Pl,e se ma ommission'and Council. If an,applicant andlorowner is unable to attend a scheduled meeting, ` <br /> 9 <br /> � p ke arrangements to:have-an autfiorized�representative:attend 'in�place of the applicant/owner and <br /> advise:the City•Rlannerassigned 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 /> , ,.. <br /> :". either:private or confidentiaL _Frivate data is information which generally cannot,be given to the public but can � <br /> ,. be given to #he subject of the data. Gonfidential data is'information which generally cannot be given to sither� <br /> � the public or the subject of the data. Owr purpose antl intended use of tHis information is to annually update <br /> our records and records .of . ther governmental �agencies .ceguiced �by law. lf you refuse to sup.ply 'the , <br /> . information,the a lication ' not be issue : ' � - <br /> Applicant's Signa'ture: ; " � Date:' � 7 Z! zolc� <br /> Applicant's Signature: • :Date: - ' <br /> Owner's Si nature: ° <br /> 9 Date: d /a( 10 <br /> Owner°s Signature: � Date: <br /> • �� <br /> . �'`_ JUL 21 2010 <br /> Last Updated: 5/1'I/2009 <br /> C��0������ <br />