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REQUIRED SUBMtTTALS: � <br /> All of the following information must be submitted by�the appfication deadline date in order for your _ <br /> application to be processed. � <br /> -� �s �.1�� ,;e <br /> �❑ ❑ Escrow A reement si ned <br /> � ��� ;er•,�7 :e. <br /> ❑ ❑ Pre-A fication Form <br /> _ <br /> '1! � •�� �`Th-i .�' °.. <br /> ❑ ❑ Hardshi Documentation <br /> � � ' i� . : , p ;�- 5, <br /> ❑ ❑ Surve meetin ALL re uirements shown on a es 5- 6 <br /> _� p q -�. < ,� <br /> ❑ ❑ Hardcover Calculation s <br /> '� .yl, �.�e. , �,r� � �. �ro �._'e��.o <br /> � ❑ Wetland Delineation <br /> -� � - �:� �, �:o• <br /> � ❑ ❑ � Buffer Im rovement Plan <br /> �_. -� <br /> APPLICANT AND/OR OWNER: . �, ;. , , , <br /> • Agree to provide all information required or requeste�i"by fhe'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 appiicant and <br /> owner recognize that they.are solefy responsible for submitEing a compfete appiication 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 /> • Appficant 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 genecally 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 a not be issued. � <br /> Applicant's $ignature: � , Date: /4- <br /> Applicant's Signature: � Date: � p� <br /> Owner's Signature: Date: ,�, � � �[ f <br /> Owner's Signature: � - Date: ; . / <br /> ' �������� <br /> � � '• - 13 - Y � MAY 17 2011 <br /> �� �S� <br /> � � o� oRO�va <br />