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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 /> Not <br /> Enclo ed A licable <br /> ❑ Escrow A reement si ned <br /> O Escrow received <br /> ❑ Pre-A lication Form <br /> ❑ A lication Form <br /> �" ❑ Practical Difficulties Documentation <br /> ❑ ' Certified Pro e Owners List �'"'�`�`�����'�����`�`���� ��`���' <br /> ❑ Surve meetin ALL re uirements <br /> ❑ Pro osed Plans <br /> ❑ Hardcover Calculation s <br /> ❑ Se tic S'stem Site Evaluation Re ort -� �-_` � p h - � ��=' ���`�n <br /> _,, <br /> ❑ Wetland Delineation <br /> ❑ '�C' ' Wetland Buffer Evaluation `� �� � <br /> ❑ Buffer Im rovement Plan i <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 /> • 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 applicanUowner and <br /> advise the City Planner assigned to your project., <br /> ApplicanYs Signature: � Date: c�3 p`Z v ao <br /> ApplicanYs Signature: — Date: <br /> Owner's Signature: �„���r �; ��� ;� ,Date: � � � �,�-� �1�, <br /> `�,�, <br /> Owner's Signature: — Date: — <br /> RECEI�ED <br /> Packet Last Updated: 03/Ol/13 <br /> i�'iA+� � 0 c01� <br /> Page 15 of 33 <br /> GITY OF ORONO <br />