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_� ,<, RECE�VED � <br /> � � JUN 2 � 2012 <br /> REQUIRED SUBMITTALS: � � C�TY OF ORONO <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'4. , <br /> �, . , .. ,_ . �. . , .� <br /> ... � . <br /> ❑ Escrow A reement si ned <br /> �� ��., "[�� ��;Es�cro�ni���eceived:_. �� � <br /> ❑ Pre-A lication Form � � <br /> :�'° °� ' A lication Focm: <br /> ❑ ❑ Certified Pro ert Owners List <br /> � '` a����,: ._ ��'° =�_�� .,._: -�'Surve '`���meetin� :ALL�re ui��em�nts `: �� :� ° . . , <br /> ❑ Pro osed Plans <br /> ��-� ❑..::.� , ° .G3�`� ;� �Hardco�er Cal��ulation�s � �-, .` , ° ., . ,. � <br /> ❑ Se tic S stem Site Evaluation Re ort � <br /> � �° .6��� ��UVetland�:Delineation -� - � <br /> ❑ f7- Wetland Buffer Evaluation <br /> �❑ ? ` � C��," ' ��:Buffer.lrii r.overneqt���Plan � <br /> ❑ CsY <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 arrangement have an authorized representative attend in place of the applicant/owner and <br /> advise the City Planner signed to o project. <br /> Owner's Signature: Date: � L� � z-- <br /> � <br /> Owner's Signature: Date: lO �� �' 1'� <br /> ApplicanYs Signature: Date: � 2 I Z— <br /> ' ...--�: r �. ��- b� <br /> Applicant's Signature: Date: <br /> CUP&Other Land Use Applications <br /> Updated: January 31,2012 <br /> � - 14- <br />