03-19-2012 Planning Commission Packet

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REQUtRED SUBMITTALS: All of the foliowing information must be subrnitted by the appiication deadline date in order for your application to be processed. F ''O�- l �.. � � . .�.�5�' �,'-Q• � �0 Escrow A reement si ned � � _ �' ws.a e��, � � � ❑ Pre-A lication Form .� � '; .,, ,, a��<< - ❑ Practical Difficulties Documentation _� -,e� e �, .E , �, �, �S ❑ Surve meetin ALL re uirements shown on a es 5 - 6 - � �':�.�8' 9. ❑ Hardcover Calculation s � '..�+�� _ �.Fb ��`� � _ _. 6 r �.�1�� ❑ Wetland Delineation � - �; �.... etl , �'�:�e _ �l�. °'�� - �t ❑ Buffer Im rovement Plan � ��. ' { j �' .� APPLICANT AND/OR OWNER: • � •. Agree to provide all informatlon requlred or requested by the Planning Department, . • Agree to pay additional fees (staff time not covered in the original fee payme.nt) and/or consultant expenses incurred 'm review of this applicafion, and • � • Certify that the information supplied is true and correct to the best of his/her knowledge. The appficant and owner recognize that they are solefy responsible for submitting a complete appfication being aware that upon faifure to do so, the staff has no alternative but to reject it until it�is complete or to recommend the request for denial of the request regardless of its poEential merit. • Acknowledge the Escrow Agreement is completed�and signed. • The Owner hereby acknowledges.and agrees.to this applicafion and further authorizes reasonable entry onfo the property by City Staff, consultants, agents, Commission and Council Members for purposes of investigation and verification of thls request. • Applicant andlor Owner acknowfedge they must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant and/or owner is unable to attend a schEduled meeting, please make arrangements to have an authorized representative atfend in place of the applicanUowner and advise the City Planner assigned to your project. - ' • Some or all of the information tha�t you are asked to provide on this application is cfassified by State law as either private or confidential, Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the informafion, the application may no e issued. ApplicanYs Signature: ` Date: ( —/7 . �-L � AppficanYs Signature: Date: /_� � . �L Owner's Signature: � T , Date: (—� ) - � L Owner's Signature: Date: / —/ 7 -/Z � � � R CEIVED RECEIVED fE6 2 2 2012 -13- q 1.8 2012 j � CI't'Y RONO � CITY OF ORONO