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� i � <br /> APPUCANT/AGENT AND/0R PFtOPER7Y OWNER: <br /> • Agree io provide ail infomiaGon required or requesfed by the Plannin9 Department { <br /> . Agree to pay addftional fees (staff tlme not covered in the original fee payrnent)andlor consultant expenses incurred in <br /> revlew of this appiication,and <br /> . Certify that the information supplied is true and correct to the best of his/her knowledge. The apptic�nt and owner <br /> recognize that they are sole[y responsible for submitting�complete application being aware that upon tailure to <br /> do so,the staff has no alternative but to reject tt unti!it is camplete or to recommend the request for deniat of�e <br /> request regardless of its potential merit <br /> . The Owner hereby acknowiedges and ag�ees to ihis application and further authoriaes reasonable entry oMo the property <br /> by City Staff, consultants, agents,Commission and Councfi Members for purposes of investigetlon and verlficaUon of this <br /> request. <br /> . Applicant andlor Owner gcknowledge they must be present at all schectuled review meetings of the Planning <br /> Commission and Council. If an applicant and/or ownor is unabie to attend a scheduled meeting, please make <br /> arrangements to have an autt►orized representative attend in place of the appticenUowner and atlWse the CKy Planner <br /> ass{gned to your project. <br /> ApplicantJAgent Signature: 5�}y1� Date: <br /> � <br /> _�: Applicarit/Agent Signature:� Da#s: <br /> \._ ' <br /> " Property Owner Signature: Date: � aOl'� <br /> Rroperty Owner Signature: _,�„_ Date: � <br /> n Pa..t�e /`7 �u P r�01� <br /> S"rOQel�DWn�Y StLJ�Mrt+ �� , <br /> -�J" (1G�.�ie'• ) Ol <br /> �et�y Di.,anor S�jha.f�..2� ,(/���-'f/t.� <br /> I <br /> ' i <br /> Subdivision App(katlon-January 2016 <br /> Pege 4 <br />