|
� �
<br /> REQUIRED SUBMI'iTALS:
<br /> All of the foilowing information must be submitted by the appiication deadline date in order for your
<br /> application to be processed.
<br /> � °-
<br /> a� :� ��� sr�'�fi w+N�ti o- ' ��,�{`+."",� t��uo�7,� � , xv :}�vo- idr r sr�:e r�y #,z u'�k.S+ c x� �flfi �r�° - ,
<br /> - a t� r� r t,5 �' � r'£k 2� i+ �, . ; 3s i� �- 5-.:
<br /> ��'_
<br /> ,.. �
<br /> � �. �r y ., � 't,T�� ,,,1'+'' .a S F.�f.,+�r�y�'d��.ifi'a. � t -�' ��r '-fi.�; " `��u-��m. �"`i`T �'� . L �...'�� �"a''._Y ,i
<br /> �Enclosed =��A licable .�t�� ��n ; ,� k��', �1 w a��.� °� ��, _�
<br /> M.�:e: .�.. �. �,e.R i: �' r .: .. x..". y ys... ..:_ ,.� ,.:;'� ^rT,�i;rr <. :i�.�.
<br /> �
<br /> ... .. ., . . , ,... .� , . , .: . . . . .... . . , �.
<br /> ❑ Escrow A reement si ned
<br /> _�.: � .� *� �, ; a:; � .. . _ o �. �� �: � :
<br /> .
<br /> •��
<br /> `�=w..E ,:�zfi`- < y,,;^: ❑ :�; ...,Escr.ow:receive�l'._�?;.�r u �,,,y r s�.�ry�;,�;�, s ,�..•�t ._y,,..�:;i�•,�<`��,',`�'
<br /> .,. ..,�. :, , .
<br /> . F �_. . .:�
<br /> � ❑ Pre-A lication Form
<br /> i� ry.Y6 '�� 'N ����t'a Y - � is w«t',• �"A+., � .2 t- ;41F�1 Y ,.�a. y!'a:-' ;rL*1, �. r �.�+.�rY.s'�;:.� "Y.
<br /> �.�n$ L'2JY.t..;R'yi6 „4i;fi�' � # �;A� �licatiori F�o�rmw '3.a. y� .�. r'1.�..F� .�:-^,s.�f��.���:iT�'�'��r'F "� 3.*F'��'.zi� :�± ';�
<br /> ,.. . ,..,.. .� . , . �, _ . .. . . .. ., _: : .,..
<br /> Ca' ❑ Hardshi Documentation
<br /> �r�,. C�' ,�"•��p;���� � rCertifecl R-ro � �Owner.s;List. °�� F.� ��«:r,��,Y� ���� �, � -�
<br /> :, .
<br /> .
<br /> �•� �:, q t '" .�i's ,.r �,�.�.: �. �.� . '^G r Fs� ;-.si�S7
<br /> . . �_ ... .�• � . _,. . �.; ... . � ._- � :..:.... ._.._. :. .
<br /> �' ❑ Surve meetin ALL re uirements shown on a es 5- 6
<br /> �, `�.�'�n` ��.'���,,.�a.p rsx�� �:Pro `osed:Plans , :t .�. �7 �P;:�w -^... �'�;�<�� su��w� `{;� ,;;�� �,.;�;� ,�.
<br /> a
<br /> LY . ❑ Hardcover Calculation s
<br /> ,.. - _ _
<br /> y� f�: `r' .-,�y ?"i� ft' ., i ''.' �' _'-:h �` t 'RL F�-J,t t, �-y�i = rr,. � -y�
<br /> °j: �f��r.�;.uK . �-� �p-;., ,,Se, tic,S, stem�S�tef,E,Valuation Re ort s rr w:;=� �F F�.4�T ,�,-�.���.�.:��F=z
<br /> ❑ Wetland Delineation
<br /> .f � ti �'.rt-� ).�;', .y�� .. . .,���. �w�R�_�.n,� �ls�. '���:�y a � �"�, vr�g.,t�l.�s n ;`y,#,:z
<br /> .� , ... ,. , ..:
<br /> .
<br /> �'��. ❑ .,..� ^ ° ����� �,1IVetland rBuffer;Ev.aluat�on-�:..� ;� ��- r ;,��r���a�.,�:��` ���,�,.:� r�n.,�r�, �.<;.�.
<br /> ❑ �' Buffer Im rovement Plan
<br /> � .,•t. / c: � ,� `�"�}",�An �n;.t�k� �S� i�,.a a�c, --'� L��'i 'i�,�?° �'r'.��.mx�`�S�K ,^ L,�vr±w�ar 4a,s.�k�tnc , �,.�
<br /> �-7 �y � , ,�I
<br /> / , ,.�. !J .i;�.; _ ....?,..:�. .Cl��•: ... �' ;1'3v+j:f:'. ,. �.:. .. ,.•,..r� � �'d.� . .+rcw.� �Y�ti�t:iS ..S'.Y•5eF1�z- '� [;�. ..,+�ii-�j. ,n.�.0 ? u-St';���",�^r..r,
<br /> APPLICANT ANDlOR 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 issued.
<br /> Applicant's Signature: , �,�'1s�,rj Date: s�i5�2a�1
<br /> Applicant's Signature: Date:
<br /> Owner's Signature: ~-" -- � � Date: ����,�p�/
<br /> Owner's Signature: ` Date: �/'�S/��/
<br /> ����0���
<br /> -14-
<br /> � � MAY 1 � [Q�1
<br /> CITY OF ORONO
<br />
|