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�REQUIRED SUBMITTALS: � • '
<br /> All of the following information must be submitted by the app(ication deadline date in order for your appfication to
<br /> be processed. �
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<br /> $f ❑ Pre-A lication Form �
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<br /> � ❑ .�I' Se tic S stem Site Evaluation Re ort
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<br /> � APPLICANT AND/OR OWNER: � �� r
<br /> • Agree to provide all information required or requested by�the Planning Department, . . •
<br /> • Agr:ee 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 /> . , �
<br /> • Certify that the information supplied is true and correct to the best:of his/her knowledge. The.appficant and
<br /> owner recognize that they are solely responsibfe for submitting a�complete application being aware
<br /> that upon�failure to do so, the staff has no alterrtative but to reject it until it is compfete or to
<br /> recommend the request for denial of the request regardfess of its potential merit.y �
<br /> • Acknowledge the Escrow Agreement is completed and signed. � ' ` " � `
<br /> • The Owner hereby acknowledges and agrees to this application and further:authorizes,rea'sonable entry onto
<br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of
<br /> investigaiion and verificafion of this request. ' ' V��
<br /> • Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the
<br /> Planning Commission and Council. If an appficant 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 /> Owner's Signature: � . ^ Date: 02 — 2� — /�-- �
<br /> Owner's Signature: Date:
<br /> . � ,.�
<br /> Appficant's Signature: � Date: 2' Z Z — 1 Z
<br /> Appficant's Signature: Date: '�
<br /> �2ECEIVCD
<br /> FEB 2 4 �2012
<br /> ' CUP�OtFier Land�Use AqpEications � �;�"�'�(�� ��ON�
<br /> '• �,Upd'ated: January.3�•2012�;��°
<br /> ",'._ .,�,w N.., , f;';`� . - 14-
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