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• <br /> pPPt,ICATION FEES:(Planning 8�Zoning Coordinator to[XJ those which apply) <br /> A cadon Base Fess: <br /> Cost TaW �'�: <br /> Skebah Plan Review C{ass I il 8111 S3�p• <br /> Subdivis(� lication Class f 8�I Lot Line Rearran emerrt �700" <br /> Prelimine Plat Review lus S30/bt CNass III 8 e non-residential s850" <br /> Final P�t-Rev�w � 5700' <br /> Renerval of Subdiviston Approval(Class i, ll�Ifl or Lot Line Rearrangemer�Cj �350' <br /> No Ch e trom Orl Inal roval <br /> ic�tion Escrow Ciass I II 8�HI snd l.ot Line Rearra errt No PubNc Im er�ta a2 500 <br /> licaticn Escrow Ctass 1 II 8�IIl and Lo#L[ne Rearra t witl�Publk Im rowments S9o,000 <br /> Paffc Fees to be determined r Secdon 82-22 As incurred <br /> S ia!i rovetneM Fees:•� ' _ "�fus,Enginesring b Legal Review <br /> �' Cost Total <br /> Pro Private Roads lus$.50/fineai ioot $g�p+�+ <br /> Pro Pubiic Roads lus$.50/lineal foot ;g$p•t <br /> R ueat tor C' bo F,dstin Privabe Road 3g50" <br /> R uest for C bo mafrriain unim roved bGc road $225 <br /> Pro sed 3an Sewer Main Extension lua�25/sfub • �275*+ <br /> Pro osed Wabertnain Extens}on lus 5/stub $275"+ <br /> Pro osed Sfiom�Sewer s�em e�aclud culverts $260` <br /> On-sibe S� m Site Evaluation Revlew a Gcable b�ruraJ subdivision 360/ lot � x�60 <br /> �P��,E�QMeerin8 b Lp�al Revlew <br /> Fleocible A licatlon Fees/Misc:sllaosous Fees <br /> Cost Tote! <br /> Variance $700' <br /> Vacatlon of Public Road$100 er benefitln �700 minimum a Varies <br /> Eesement Vacadon Assoc�ted with a Subdivision $Z00` <br /> Easement Creation with Subdivision I'ication No{� <br /> Escraw for Vacatlons and Easementa s700 <br /> PRD ficetbn wRh Subdivisfa �35/dweNin unit �3� <br /> I of Adminiatrative Decision 60 <br /> 'plus,EnQinaoring d�L�gal Ravfew <br /> Total <br /> Escxow Amount 500 / $10 000 / Othe� <br /> TOTAL DUE <br /> APPUCANT AND/OR OWNER: <br /> • Agree b�provide ail infom�ation raquired or requested by the Plerming Depe�tment <br /> • Agree to�PaY eddtional feea(afiaff time�ot covered in the original fiee payment)a�d/or co�,#tant exper�aea incumed in review <br /> of this appl�tfon,and <br /> • Certlfy that the irrbrmatlon suppUed is true and �rnect to the best of h�A�er tv�oNAedge. The appik�nt and ownar <br /> recogntrs that thsy aro sohly r�sponslbls for subml��a com�le�a applicatlon bekg avrare thet upon f�lure tio do <br /> so� tfw statf hsa no albsmatlw but to rejsct It uMll it ie wmplete or to recommsnd the requset ior dsnlal of thq <br /> r+equest regardleas of Ifs pot�ntla!rtwNl. <br /> • The Owner heneby edaiowledges and�gr�ea to ihis appiicetion and further authorizes reassonable entry orrto the Prop�ty by <br /> Cfiy StafF, oonsultants, agetrts, Comrrdssion erui Caux11 Members for purposea ot investlgatlon and verific�at of this <br /> request. <br /> • Applfcsnt und/or Owner acknowiedga they m�at be p�esecrt at a!I scl�eduled revlew meetfnga af the Planning <br /> Cann�slon ard Council. ff en aPplic�nt andJa ownar is unable bo attand a achedt�ed meeting� Pkese make <br /> errengements to have an suthotized representetive attend in place of the appiic�t/owner ar►d advise tl�e City Planner <br /> assigned to your proJac�. <br /> Property Oumer 1 Signature: , `? Daba: 3� �9— �.� <br /> Property Ovmer 2 Signa�ure: '��"���:C.4,, _' <br /> SubdNlaion Padrot Lest Upd*6ed: .fanuary Z014 �Q� � 8 2015 <br /> Pape 1�of 2B � � � �� <br /> r,s��Q� ���d��f_1 <br />