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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 /> M_.:'n�los,_._ A: �.�(i.cab,.e� .. � � _ <br /> �-, .. ❑ Escrow A reement si ned <br /> � e recei�'ed � <br /> �s_.�o� .�_. <br /> ❑ Pre-A lication Form <br /> � '�a��o�► F��r,, <br /> ❑ ❑ Hardshi Documentation <br /> ; 0 - 9 e_,�f°�ed;�Pj-�o erE�Ow�,..e�_ �ist <br /> R ❑ Surve meetin ALL re uirements shown on a es 5 - 6 . <br /> .� <br /> - � :�, CI. �Pr�o����.o-��.,s,.e��'d�Plan�.s �, <br /> `� ❑ Hardcover Calculation s <br /> P . � <br /> �� <br /> �Se , i�;.s�em�`�Si e ��:al afio�e ;o;, � <br /> ❑ � Wetland Delineation <br /> � eflantl �:e E�,valuatio <br /> � _�.��: _� <br /> � � Buffer Im rovement Plan � <br /> � �� . , - <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 compiete appfication 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' d. . <br /> . <br /> �(Applicant's Signature: '(G�.� ��-- Date: �j --�,� - � 1 <br /> Applicant's Signature: Date: <br /> -�Owner's Signature: � �.�._. Date: � -Z,� - �, , <br /> Owner's Signature: Date: Q�r.�0�1F� <br /> � p� JUN 22 ��:1 <br /> � -�3- =r�� CITY OF ORONO <br /> r. 'j � 1 <br />