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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 /> . • ,� <br /> ��� � ` IY�,,,�t��Fi1. &�4�K'x .�Ft���.��, �sy�ir Ti�i��: '�ri . �i4�n- c�t.f. i'3h`'��,L�i.`SN'-v uaa�I�Srrc��t�"a�yf�yi��'it�2f�+ '�# �r. � z'sr <br /> 'r R t �sflc�' . '� � f �V r� �� � ������' � 'tr�w�+'���jn`�'i�7�t•�' �,�+d..,p,Y�? F l ���� '`' �� <br /> .,,�E��eose_aN�,�A Ii�ab��.�.�_ :°��.,_.-���� �� , '��.°,.����,�.�.���� T. r��'�Y����r�.���;._���:._���;� <br /> ❑ ❑ Escrow A reement si ned <br /> °'x'' i� �. ❑� i P aa�Atn F . ',aa �. n� � X C`n a�. �""�'� ��;,�y r�c. y },. 4� µp..,a��r <br /> ���,�"`z�r_"�.�.�`��?�Esc��v���e,ce�aretl�.����.�t��a.'�a�`�����X'�'t�`.�����:.�t��'s�,,S �.��`�+4 ;7�'� ��'� <br /> - .rw...,. c'�:n�4t:�f l, ..�.�_ �..L.".�n7L <br /> ❑ Pre-A lication Form <br /> �* - y �-ir`�- :f`"e�e ydy�,^�w, u.r..i T��,ti.�crt s�r+'::,s� r',�" T'ars�. '71�- c�< x' t �� r rd c�-•1 <br /> ,. _ <br /> W : � �. �����-r �A licatio �For=� . u��, "'� �������t;�'� � ,���. .r>,��„ ,��y�-� � , <br /> ; .. � '�"'��.��:�.x.�,.a�i�[_�. _.. -- _ �...a, ._���._a�~.-wts�Y�.:?:�.,.._.t,mc,_�:�._ri�:..$'^'..�^��i.aaa�. .��l,�.�'iE�'P���kxF,w�����;�`3i;,.� .����,'.-�a.z <br /> � ❑ Hardshi Documentation <br /> � ..} . �,_. � . ..,�. »t- y� •a..ss 'yr7w en�'.��> """bh zr 1«' t� w �..:r +A � s..+,t.a�n, i:m <br /> � > ��������..`�.�°`, .���Certife.�c`�I?.�o �e:�'t;�Owners�Lis������.��'.��������.����������'��� <br /> ❑ ❑ Surve meetin ALL re uirements shown on a es 5 - 6 <br /> 's � ' -,�� - P r .:n°':n,y� --•a � .�vasti�r y re -. .�. . .�a r.� <br /> . .. <br /> . <��� �� . �.����'��,,P�ro os�ed�Plans� .�:,..�,f_�`.���;'�r�-�.�� >;�� ���:.���.�'����`f��,��� ,�� _3.�;� <br /> <:a.u,ry. s r � 4 <br /> ❑ ❑ Hardcover Calculatio s <br /> 'J ' " s�'��i.M �'�sil !F '�3i�J�T 3]" .YSL�!'i � f y�-Y� N+R� .�f1�NT� f�Jtw i�l S y" � . '1 . .. 9 ! <br /> k`,T� ' � +u�ty,�ti - .. y '�.'�.uh m�- � �i..� 5y ! '� `` �.. �.�h� .�,r� dS� ��°��t ,�"`.� � �F" <br /> _ � <br /> �° `�'° � Se , S sf"e , Site E�aluatio Re o#���� � �`� � �;��'���'y f � �"�-�� <br /> . _� ���.�_,�_: ��::�.�. �c�-�..._ ..m�,..� .�...._.._ . ...n,.. . .rt�..;��.�:��.�-�...�.,,�r �-�w� ..�3't.1.=5�7.�u"t�i!`i'�'.�'r.�.v�'�',r!< <br /> ❑ Wetland Delineation <br /> -.��' e,,`�".�����' ��r� � ,r c r�v y��j,... 3 c-r� ro r. U.owr -.us.,� , � �?.�3:�«r � x r ro � <br /> k �D.c fVS{+'S��s�x � �'Y°,�� �'ti��ell�-S��fiB�ffer��ua�luation ������.i��. � K`.y�".r.',, �m��,���. "�, x� �,`�''t�-�"'��' `�a <br /> � �h � �� � <br /> _..�. ._. x_....__...� . ,,,xv_ .,... ,..8t+e�Q:��As.�`G tt H._S�Cx �_Ii 7:e:�wT�, ti'" <br /> ❑ Buffer Im rovement Plan <br /> . . ,,. , . �!� <br /> '�KF t#s c�,45 S C`�'7 r�` y +4'�2�`2u"3�''i5'�'�'� ih{"`',Yr r�` 4fc.qF*` �;'�y�T�p ! � i.r,S^r � ,�, ak� ,�� x °ttF <br /> � : �07.� . : >:v�.�irn?.���.�'�£�,��*,�,"'.;�.�;Y�°,�`3_.��?'9r��`.r�;.`��L �-.ire.�'�„�.�r�w�A-iI'?,��l�..c"�x-�1 w�LL,r����a_s,.����a.:�'��'�.�.���.�.:.��»�'��'.�.�.`�`i��r��`�e�`.' <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 fhe 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: Date: �–�� ^/C� <br /> Applicant's Signature: Date: <br /> Owner's Signature: � � - Date: — �-1 <br /> Owner's Signature: Date: <br /> '�2ECEIV�D <br /> �asc uPdated: si�vzoos AUG 1 8 2010 <br /> � CI'TY OF ORnnin - <br />