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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 /> t ° `Not �"�" ; : ;, �, � �� E w° ,'�, <br /> ,y � . <br /> , 't� , y � � � . <br /> �'r �v -0S e y•' <br /> ,.Eii�lose�d � S�A licable � }:,� k " .�` '� * ��:.. <br /> � ❑ Escrow A reement si ned � � <br /> , . C�- �` :.� .❑ .�Escr.ow�'r.ec'eived " :i .> '"';,u <br /> � ❑ � Pre-A lication Form <br /> ,I� ❑. �" :A �'Iicafinn-Forrn. ,� � £� " � ¢ , ° <br /> 1 � ❑ Practical Difficulties Documentation <br /> � � �M1 i, t� `��� , ��Certified.,P.ro."e , Owners;List� z' :;��.'��t :;�. �n�� , , � w � ��. :,,s; <br /> � ❑ Surve meetin ALL re uirements <br /> ��� . � �,K �p, ;>�, M�:P,ro°osed`Plaris ���,�;; �'. � j, ' r` ��, ; �,sn:� � <br /> .. , . w, ., , _ .. . . , . _ , <br /> � 0 Hardcover Calculation s <br /> ❑ ''�.� ,�I;R�,::.. �"�Se�`tic,S .stem�.Site.,E"v.aluafion.Re ort � ��� <br /> ❑ � Wetland Delineatiori � <br /> "' ❑ �� UVetlan'd:Buffer,:Evaluation �.� � - �' � "� ' <br /> ❑ � Buffer Im rovement Plan <br /> , ,�'_ ', r❑ �. ,. <br /> . , ,, ,,:: . �,; �... <br /> f. _ . a <br /> APPLfCANT 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 merlt. - <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 and/or 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: ��z i li Z <br /> Applicant's Signature: Date: ��Z/ �1 Z <br /> . <br /> Owner's Signature: Date: ��z/ �j z <br /> Owner's Signature: ��-- Date: �/�'/�Z ` <br /> REC����� <br /> VarianceApplicationUpdated: January31,2o,2 AUG ?L �012 <br /> - 14- <br /> ` Ct� OF ORONO <br />