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�y 11 -�+f � . � � . � . <br /> � '� � , � , `�� ' •' • ♦ <br /> � � REQUIRED SUBMITTALS: � <br /> � Ail of the following information must be submitted by the application deadiine date in order for your <br /> , ; <br /> s ' application to be processed. <br /> z <br /> � � � <br /> s � <br /> � <br /> ; o. <br /> � ❑� � ❑ - Escrow A reement si ned . <br /> m rs w z <br /> � ❑ ❑ . Pre-A lication Form � � � � <br /> � , <br /> ❑ ❑ Practical Difficulties Documentation <br /> a s � , . . <br /> ❑ Surve meetin ALL re uirements shown on a es 5 - 6 <br /> e <br /> ❑ Hardcover Calculation s <br /> � . . <br /> � Wetland Delineation � <br /> e s <br /> ❑ Buffer Im rovement Plan <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 recogni�e that they are solely responsible for submitting a complete 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 meefing, <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 informafion which generally cannot be given to the public but can <br /> be given to the subject of fhe data. Confidential data is informafion 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: Date: <br /> ApplicanYs Signature: Date: <br /> Owner's Signature: Date: <br /> Owner's Signature: Date: <br /> RECEIVED � <br /> c � � •��, - 13- O � , <br /> ��.,' � � JUL � -' <br /> CITY OF ORONO <br />