Monitoring Report Submittal

Project Information

Critical Area or Shoreline Permit File Number:

Name of Project:

Site Address:

Year:

One

Two

Three

Four

Five

Applicant

Phone Number

Project Description: Please describe the project for which the monitoring report is being submitted and identify any areas where the mitigation is not meeting the performance standards:

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Certification

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I certify that the information on this application is true and correct. I also certify that I reviewed the City's comment letter and the revised documents address all of the City's previous comments.