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APPLICATION FEES: (Planning & Zoning Coordinator to [X] those which apply) A llcation Base Fees: · Cost Total $350"' $700"' $850* $700* $350* .:·,,. $2,500 $10,000 As incurred *plus, Engineering & Legal Review Cost Total $650* + $950* + $950* $225. $275* + $275"' + $250* $60/ er lot x$60 *plus, Engineering & Legal Review Fl 'bl A I' ti F / M" 11 F ex1 e ,DD ,ca on ees 1sce aneous ees .· Cost Total Variance $700* Vacation of Public Road $100 per benefitina property ($700 minimum per aool) Varies Easement Vacation Associated with a Subdivision $200* Easement Creation with Subdivision Aoolication No fee Escrow for Vacations and Easements $700 PRO Aoolication with Subdivision $35/dwellina unit x$35 Aooeal of Administrative Decision $50 *plus, Engineering & Legal Review / \ _L Total Escrow Amount ( $2,500 fl $10,000 I Other ~ 1J '-/ J {) TOTAL DUE ~----._/ I APPLICANT AND/OR OWNER: • Agree to provide all information required or requested by the Planning Department • Agree to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses incurred in review of this application, and • Certify that the information supplied is true and correct to the best of his/her knowledge. The appllcant and owner recognize that they are solely responsible for submitting a complete appllcatlon being aware that upon failure to do so, the staff has no alternative but to reject It until It Is complete or to recommend the request for denial of the request regardless of its potential merit • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants, agents, Commission and Council Members for purposes of investigation and verification of this request. · • Applicant and/or Owner acknowledge they must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting, please make arrangements to have an authorized repre ntative attend in place of the applicant/owner and advise the City Planner assigned to your proj Owner's Signature:..:."-:.J-.K-.J.~-1-...::....~;4...LJ.a11J£1L..JC:" Owner's Signature: _________ ...._ __ _ Applicant's Signature:_:A_· ____ ___,,-'---',.____._ _ __.._, Applicant's Signature: ___________ _ Subdivision Packet Last Updated: 04/01/2013 Page 12 of24 i i12 / i3 Date:_< ____ .,,_!_ ______ _ Date: ___________ _ Date:-'>\~!Z_-__ /_q ...... /_l _3 _ _;....Y-_-=-,_ ;1ECEIVED Date: #-6 - ,, 1 :,;;.} \_ 1/ DEC -g 2013 u·:.,.~\1 ~\,,)CITY OF OROf\lO