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APPLICATlON FEES: (Planning&Zoning Coorclinabor to[X]thase which apply) <br /> A lication Base Fees: <br /> Cost Total <br /> X Sketch Plan Review Cfass l, Il 8 Ifl $350* 350 <br /> Subd9vision lication Class 1 &1 w Lot Line Rearran ment $70d* <br /> Prslimina Plst Review, lus$3011ot Class III&all non�+esidential �8�p• <br /> Final Plat Review $700• <br /> Renewal of Subdivision Approval(Class I, tl 8 I!I or Lot Line Rearrangement) $350' <br /> No Chan e from Ori tnal roval <br /> lication Escrow Class I, !I &III and Lot Line Rearra ement No PuWlc lm emer�s $2 500 <br /> A lication Escrow Class 1 II & IIl and Lot Line Rearran ent wlth P�eblic 1m rovemer�te $10,000 <br /> Park Fees to be determined r Section 82-227 As incurred <br /> *pfus, Engineering 8�Legal Review <br /> S cial Im rovement Fees: <br /> Cost Total <br /> Pro d Private Roads, lus$.50llineal foot $6�p�+ <br /> Pro ed Public Roads, lus$.50/linesl foot $85p*+ <br /> R uest for C to Accs Existin Private Road a9�p* <br /> R uest for Ci to maintain unim roved ublic road $�5 <br /> Pro osed Sanita Sewer Main Exterision, us$25/stub $275*+ <br /> Pro sed Watermain Extension, lus$25/stub $27g*+ <br /> Pro Stomn Sewer S stem excludin culverts $z�p* <br /> On-site S stem, Site Evaluation Review a licable to rurel subdivision $60/ r lot x$60 <br /> *plus, Engineering�Legal Review <br /> Ffexible lication Fees/AAiscellaneous Fees <br /> Cost Total <br /> Variance $70p* <br /> Vacafion of Public Road$100 benefitin ro ;700 minimum r I Varies <br /> Easement Vacation Associated with a Subdivision $2pp* <br /> Easement Creation with Subdivision lication No fee <br /> Escrow for Vacations and Easements $70p <br /> PRD lication with Subdivision, $35/dwellin unit X$3� <br /> A al of Administrative Decision $$p <br /> *pius�Engineering 8�Legal Revfew <br /> Total <br /> Escrow Amount $2 500 / $10,040 / Other <br /> TQTAL DUE 3r�Q <br /> APPLiCANT AND/OR OWNER: <br /> • Agree bo provide aA iriformation required or requested by the Planrting Departmerrt <br /> • Agree to pay additional fees (stafF time not cavere� in the original fee payment) and/or oonsultarrt expenses incumed in <br /> review of this app6cation,and <br /> • Certify that the infom�ation supplied is true and corr�ect to the best of hisfier kno�wled�. The applicarn and o�wner <br /> recognize ti�at thay are solely responsible tvr submlt�ing a complete applicatlon beiag awar,e that upon f�llure to <br /> do so,the staff has no albemative bat to reject it until it is completa ar to recommend the request for den�l of t1�e <br /> request re�ardl�s of Its potantial merit. <br /> • The Owner her+eby adcnowtedges and agr�ees bo this application and furtl�er autho�zes r�sonable entry onto the property <br /> by City Staff, oonsultarrts, a�ents, Cornmission and Councll Members for purposes of investigation amd verifica6on of this <br /> request. <br /> • Applfcarrt andlor Owner aclo�owledge ttwy must be pr+aserrt at all scheduled re�view mee6ngs of tt�e Planning <br /> Commission and Counci#. If an applicarrt andlor owner is unable to attend s scheduled meeting, please make <br /> arrangemer�ts M have an autliorized representative attend in ptaoe of the applicantlawner and advise the City Planner <br /> assignad to your <br /> Owner's Signature: �(� Date: Y• Z�� r 5 <br /> owner's Signature� , � CEIVED Date: -'L�` �-S <br /> �1PplicanYs Signatu Date: �"z/ • /� <br /> Applicant's Signature: R 2�� ?O�� pafe: <br /> Subdivision Pedaet Lasi Updabed: Merah 2095 Cm(OF ORONO � � � � f, <br /> Peq�a 12 of 26 (.� <br />