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REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your <br /> application to be processed. <br /> ��OL �" . .. J �1 '� t� t ' _ <br /> Encloset! Apphcable ` � <br /> . __ r . . . . . . .. _ . .. .. .. . . <br /> ❑ ❑ Escrow A reement si ned <br /> .. ., . <br /> _ <br /> ,. � ;:Q ' ' . .°:C7 �`:', �Escrov��received <br /> 7 t <br /> _ . . . _ . . � <br /> ❑ ❑ Pre-A lication Form <br /> . _ , <br /> . .. <br /> .�' ;; � .❑ �� :._ � .A Iication.Form � <br /> . ., � : <br /> ❑ ❑ Practical Difficulties Documentation <br /> , .. _ <br /> = � ` . ❑ , .. iCer#ified-:Pro�.eit�.:Owners aList <f <br /> ❑ ❑ Surve meetin ALL re uirements <br /> :� .0. Pro osed''Flans i - ° :� <br /> _ . , . . . . .. . .. . <br /> ❑ ❑ Hardcover Calculation s <br /> :-, •� . . ' .��0, . �' �°,Se tic�:S°stem�5ite Evafiu`afi.on Re�ort <br /> �.� <br /> ❑ ❑ Wetland Delineation <br /> �:� �L� �1Netland�:B.uff.erbEvaluat�on...':. F �` <br /> ❑ ❑ Buffer Im rovement Plan <br /> �� '. � .� F..e�' <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 /> • Applicant andlor Owner 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 /> Applicant's Signature: � � Date: �' � � /3 —' <br /> �2e5 i l�k/� �� <br /> Applicant's Signature: Date: <br /> Owner's Signature: Date: ��� "—�.�j <br /> Owner's Signature: Date: <br /> RECEIVED <br /> JAN �3 2013 <br /> ClTY OF ORONO <br />