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RECEIV�D , <br /> JUL � 8 2012 <br /> REQUIRED SUBMITTALS: ����� (�RONO <br /> All of the following information must be submitted by the application deadline date in order for yo lic t on o <br /> be processed. <br /> ..;;.. Not :: , . ..:.:_, .:.:: <br /> � . �. <br /> �.�RCios�? . .A":� lieable :.:;-: ;.: ..::. ' ....., . <br /> _._ . <br /> . .,,., ... ......:.. .................. .. ..........,: <br /> ❑ ❑ Escrow A reement si ned <br /> . .;; .� ..;:-�: .... .;.;:..� ..:: :..... 'Escrow.r.ecet�red.:.; ...:::.:>.. ... .. <„�.�. .<.: :....-: ; .. . <br /> . ..::.... ..... . . :.. .: ....,.. ,. <br /> O ❑ Pre- lication Form <br /> '. �:' � . .::':.... :;. .D...::•:. . A::_licat�o!?-'Form..:`... . .:::: . ._.. <br /> .......... .. .. ... .. . .. ..........�. . , ... .,_,.. ...., .,.:.,.. <br /> ❑ � Certified Pro e Owners List <br /> . _ , .. . ..... ... <br /> �:.CI .':: _ �::.:�.. . Sun!e .(me:ettn AL.Lre,u�rementsl ........: .. .,�::... . . ::� . ....:.• ... .. <br /> ... ...... .......... <br /> � ❑ Pro osed Plans . <br /> _. , <br /> .::::.D...:.�: .....,,';: R...:;:..,.. .Har'daove.r:GaEc�il"atr�an s.:::: ::,:�:... ...::..:......:..:.. .. . .:. .. .. : <br /> .::. <br /> _ . ..... .... . ,-. <br /> � ❑ � Se tic S stem Site Evaluation Re ort <br /> . � <br /> .: :�..�.. .:: .,. ...;> C]..,..:::. .. .Wefland:D�itneation ,..:.:. ..... ::: .;::. .. ., .`:: <br /> _ . .;,. , :- :.,,. <br /> _ ...:: .. ...,::_ . <br /> ❑ ❑ � Wetland Buffer Evaluation <br /> _ _ _ _ _ _ _ <br /> .. . . <br /> ,.;:. t�..:.:::.. ....;....F'J.....`�:... >B:af.fer.im`r.ouerriettt.Ptan...r .. ...:::: .. ..::;. ...:.:.:: ..,,::; ;... .<;; <br /> ....: <br /> ... ..... .. . <br /> . O ❑ J <br /> .... <br /> . .. <br /> , ❑ . � <br /> APPUCANT 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 hislher 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 eity Staff, consultants, agents, Commission and Council Members for purposes of <br /> investigation and verification of this request. <br /> • Owner andlor Appficant 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: �i./..��'�-�. Date: 1 F� ! �� <br /> Owner's Signature: Date: <br /> Applicant's Signature: _—,�� Date: -� - 3 - ►L <br /> Applicant's Signature: Date: <br /> RECEIVED <br /> JUL 18 2�11 <br /> �tTY OF ORONO .� <br />