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. � <br /> APPL1CATi�N�EES;�F�anning 8 Zon�Coord{nstor to[X]ihose whiah apply) � . <br /> ftcatton 8ase Fees; <br /> Cost TotsE <br /> Sketch Plan Revf�nr Ctass! ll 8 lil �p� <br /> Subdivislon icetion Class t 8 i or Lot Line Raarr� sment $700" <br /> Prefimina Plat Revi�w lus S301bt CI�fi18 all non-resfdaMir� �ggp* <br /> 1=Ir�1 Plat Revievr 7�. <br /> Renewal af SubdivJsiart Approval(C{ass�, if 8 il!or Loi Une Reamangement) $35p' <br /> No Cha� isom O i�i ravat <br /> Ikxtion�sc�+ow C1ass I. q 8�ill and Lot L.ktie Resxra er�ent No Pe,btic 1 qnems a2,500 <br /> A licatbn Estxaw Class 1 II &Ill and i.oi Line Fte�rra emetst wlth Pubilc tm e�s �10�OQ0 <br /> Peck Fees to be de{etmMed Sectlon 82-22 /y Ir�a�rtad <br /> ''plus,En�in�cing Laga!Rsvi�w <br /> S fa!fm rovement F+�� <br /> Cost Ta3�! <br /> Pra ased Prlvate Roads ius S.6Q111nes1 foo# �650*+ �,ruo <br /> Pub�Roads� us�.601Unea!foot yg�q++ <br /> R uest for C1 ro Ac:ce t Exis�ln Private Rcad $g�p* <br /> Re uesk r C to msfntain unim aved road ��� <br /> ro osed SB�i Sewer Maln Extension, l�ts 261stttb 5275'+ <br /> ried iN�#�1118t1�1 Ex1eRSbri 1iJa a251Sh1b 5275'+ <br /> Pro sed Storm Sew�S stem mx�dudin culverts �y <br /> Or�-s�e S tern.Site Evalu�tlon Ravieyy a le 1a rurai subdivkion S50/ lot x�60 <br /> `plus►Hn�inaeririg 8 Legal Revlaw <br /> Fl�xibie A llcatlon F�1 Misceflan�Fees <br /> Veti�'►ce Cost Tota) <br /> $700 <br /> V�catbn af Pub�c Road 3100 benefiN S7Dp mintmum er Varles <br /> Easemant Vacatio�t Assoc�ated vuith a Subdivision �pp• <br /> Eaisement Crea�t�n wlth Su6divTsiori A 11caUan Na fee <br /> Eacrow tar Vacat3ons snd Eassments 5700 <br /> PRD 1k:aElon with 5ubd)vislon 5►35/dwel{h wttt xS35 <br /> af AtlmtMstratiire DQclsion $� <br /> 'Pfus.En�inaering&l.ega)Reviaw <br /> Tatai <br /> Escrov,r Amaunt 52,500 1�Qo0 Othe� . <br /> TOTAL DUE �3� <br /> APPLtCANT ANCIlOR OVYNER: <br /> . Agree io provlde�l MfarmsHoh iequked or reque�t!by t{�e Plannln9�epaHtr�et�t <br /> • Agree to pay additlonal toes(�tai#tkne noE coverod in�!he cxipinal fee psymant) ondlor c.br�suitant�xpen�e tncum�!In <br /> review ot thta appGcatlon,end <br /> o Certlfy tt�t the info[�netfon sttpplfed is tNe �td car�ect lo �ee dest of hlsfisr kffowledpe. The appOcept aad owe�er <br /> recogniz�tl�at tF�ey are sdaiY�Pdns�f�[ar subrt�ttti�g s eomptste appNcatlon baing a�ent+e t�st�an iaih�te!o <br /> do so,tha staffi has ea altarna#ive but to reJect it ac�tll It�a c�fete ar to re�:omr�red tbe r�t f�donlal ot!!�e <br /> rnqoest rege�dEess of Ets Rctlentlal m�rit <br /> � The Qwner he�eby acicnorv�edges and aqro�s to lhis appDcattran end firrther eutho�izes raesar�abFa enUy�nto t�e prop�rty <br /> bY�Y Sfaff�caresult�tb,aSeMa�CarKnlasion and Council Meml�eis for pw�oses of irnestigatbn and ve�icatlion o#Uds <br /> request, <br /> • �PP�icant endlor Owner acknowladpe ttwy m�est be presar�t a! a41 sct�er�iuled ravisw m�dinQs ot tha Pterinlnp <br /> Commissian und CouncU. I( an appl3canE andlor owner is unable � sitend a sd�edaled mee�ng, pleaee mafoe <br /> arrangeme�ts t� have ar� authorizad rep�nta e aEtetM in p� oE the appNcanUo�mer and advise the Clty Plannsr <br /> ��Y�Pro <br /> Owt�6r's Sigrtature: Date: �/ /.� <br /> Drmers Signstura: p�. <br /> Appllr.arrYS Siqnaiute: � � Dale^_,�ti ;__,_;,!1 i��, ' <br /> a��nrs si��c�: o,�: REC�IVED <br /> Subdfrision P�d Last Updefed: �2ajs ��z AP#� 2 2 20 i 5 <br /> � � � � � <br />