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REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your application to <br /> be processed. <br /> � Not , , . ` <br /> Enclosed A licable` . , <br /> . <br /> ❑ ❑ Escrow A reement si ned <br /> ❑ ❑ <Escrow received : ... . __ . : . . - - . : - ° <br /> ❑ ❑ Pre-A lication Form <br /> - ❑ , . ❑ .. A ficafion Form . : . :.� , ;. . _ . <br /> ❑ ❑ Certified Pro ert Owners List <br /> ❑ ❑ . Surve meetin ALCre uirements � � � <br /> ❑ ❑ Pro osed Plans <br /> ❑ � � �- Hacdcover Calculation s � . ; =: � : <br /> ❑ ❑ Se tic S stem Site Evaluation Re ort <br /> . ,,..0.. _ ❑ : .: 1tVetland Delineation , , <br /> 0 ❑ Wetland Buffer Evaluation <br /> ❑ . ' ❑ . . Buffer fm rovement Plan : , ,;: : .� : . <br /> ❑ ❑ <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 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 /> • Owner and/or Applicant 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 /> Owner's Signature�.���-�'°����— Date: �/'�Z� ��Z <br /> Owner's Signature: Date: <br /> � c� <br /> Applicant's Sign �` Date: z�Z� ���� <br /> Applicant's Signature: Date: <br /> RECEIVED <br /> c�P&othe��a��Se ApP���tio�s FEB 2 2 Z012 <br /> Updated: January 31,2012 <br /> ��X OF ORONO <br />