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REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclosed Applicable <br /> ❑ p Buildin Permit Escrow A reement and Fees <br /> ❑ ❑ Plan Review Fee <br /> ❑ ❑ Com leted Ap lication Form <br /> ❑ ❑ Pro osed Pool or Hot Tub Plans—2 sets, full-size, to scale <br /> ❑ ❑ Surve —2 full size, to scale meetin ALL surve requirements <br /> ❑ ❑ Hardcover Information <br /> ❑ ❑ Se tic S stem Certification <br /> ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or <br /> documentation from MCWD statin no ermit is re uired <br /> ❑ ❑ Landsca e Walls and/or Retainin Wall Plans <br /> ❑ ❑ Stormwater Pollution Prevention Plan <br /> ❑ ❑ Data Privac Advisor Form <br /> ❑ ❑ <br /> APPLICANT ACKNOWLEDGEMENT: <br /> . Agrees to provide all information required or requested by the Planning 8�Building Departments; <br /> . Understands, if applicable, an as-built survey and as-built hardcover cover calculations, are required to be submitted after the <br /> project is complete( including final grading and landscaping)prior to refunding the escrow; <br /> . Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are <br /> solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to <br /> reject it until it is complete; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and records of other governmental agencies required by law. If <br /> you refuse to supply the information,the permit may not be issued. <br /> . � /� <br /> Applicant's Signature: ��` Date: F'/�'�� <br /> ----__ � �.� /✓-r' <br /> Owner's Signature Date: <br /> � ���2�� > >`� <br /> ��` � �� 3 �7� <br /> `.� � '�� �`�,�`�� ���r <br /> � <br /> �, �-' i�t ��' � <br /> � <br /> ��h �c� ��,.`7 <br /> �vtLL �5��� ��� <br /> �Z`�u�,�,� �� <br /> Packet Last Updated: August 2015 �4 <br /> e ��, � /� <br /> P ' D YY�-����� �G�-x <br /> ,��5 . <br /> �/.S S I h�' � -�/i!-1.'� <br />