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APPLlCA710N FEES:(Planning&Zonin�Coord�rator t�[X]thase whfch apply) <br /> � [Icatlon Base Fees: <br /> Coat To#al <br /> Sketch Pian Rsview Class i II&Ifi • • • � � 3� • <br /> 5ubdtvision A Ifcation Class 1&1 or Lot Lfr�e Rearren emenf 70p* da <br /> Prelimina Plat Revlew Ius�30/lot Ciass II&afi non-residentiel � ' $85 <br /> •Final Plat Review � • � . • $7�0« . <br /> Rsnearoai of Subdivision ApAroval{Class I, II &II! or Lot l.lne Rearrangemen� $350* <br /> Na Chsn e.1'room Ori ina[A rovai � <br /> A_ c�tion_Es�row Class 1 U &III and Lat Lins Rearra ement No Fubtic lm rovements � <br /> ,$Z 50Q�=: �' � <br /> A ticatlon Escrow Glass I, 11 &111 and I..ot Une Rearra ement with PubfTc.lm rov�menbs $aa;�n0„ <br /> � Paric Fees to be determ(ned r Section 82-227 • qs�n,�,� � � <br /> � "plua,Engineering&-Legal Review � <br /> � eaia[lm rovement�ees: � <br /> .�dCast Tota! � <br /> Pro sed Frivate Rvsd s ��0/11 _foot„ .,. ., .. -�,��. :. - . ,. « � <br /> .,� <.t 5Q.f r <br /> Pra vsed P�pli .�. ads $�0 .ea t , ..; , q , .�... -'. �950*+ . <br /> R� ues���'ur I to Aoce '...ri rfvate Road � $950", � <br /> R uest for C[ to malntain unim roved. ublic rvad " �� � <br /> Pro Sanite Sewer Ma1n�xtsnsiori� lus$2S/stub 2 5•+ - � <br /> Pro Watermein Extension lus$25/stub ' �275"� � . <br /> Pro sed S�orm Sewer S st�m excludin culverts ' �260* ; <br /> On-site S stam Sfte Evaluation Fieview a licable bo nrral subdivisian $80/ r lot - • � } <br /> ��' �` ' '*pfaa;• gtnesring&Lsg�i Revlew � <br /> Flexible�l fldation��Fees fMts�ill�neouB Fees � • � --� --:... � � . . � <br /> - . . , fi'�-'�•f`a: tY�wi�q•v.) �...i� �� ..".• r�i� �0�� � <br /> M ' '�700" ' <br /> Variance .•.� _�- • �.�� :.•�.� - . . �.. � �.r.« ,.-�:, - , ;.3 -.: * • � � <br /> Vacatioit vf l�ublic Road 8•. 'r bene''fitih � ��'OD mini rrt �a x�.,*�»•:.�.�. �V$n�-, � . <br /> �Easemer�l/scation Assocfated wfth s 5ubdivfsfon $�ppR � . . . s <br /> Ea�ement Creatlon with Sub.divlsion A licadon �-�� ��'r: No fee = <br /> �iro�uv fer Vaca�oris�nd`Eas�m�tits,. " s�. � - . � �700 � - - ' <br /> ... '!�R 'A 19 w�i �.. s �9•� dw�lfkt �h1C� o���� .�. �,�..� ..,r; �. .r•� .;�,,,•.�; . ' <br /> ai o�A��nkll�tr�fiv�-C��c�io�i � � ' � • •, '- "r� � �+-•:` .��0 , � . . <br /> . . �= �•� ,.. ,�.. . . <br /> :. . �.. _.n y t i.��?�e+�•��•yr.L . �y� . s.;.,�,�. r .. . •� ;- +������Iri�er��g:8c•;�.egal Revl�w <br /> - in.. » - P i rr _ +=�rje :�Lc v`. 'a•..r' .b�if i' <br /> -� ' � Tatal � <br /> �At'tllount '" '�' $2"5D� $ D�OQO / Other ' <br /> TQTAL DU� t <br /> � � �• �:•• i. <br /> APPLiCANT ANR/0R OWNER: :;. , <br /> • ABree to prov3de al!irrtormatton requir�d or sequ�sted'by the'Ptanning Departmbrit' � <br /> s Agree to pay additionsi fees(sfaft'tima not covered in tha origind fee payment)andlor c�nsu�tant axpenaes Inaurred In revlew � <br /> of this app{Ecation,and ;.;` <br /> . Certity that the tr�matlon suppiled Is trus and correc� to the bsst of hiamer Knowl�dgs. The� applicant and oHin,e, r E <br /> recoenlxe that they�,re.solely responstble for submtttlna a comple�e appllcatlon belqg awara that uqon fa�ilurs to do ! <br /> so, the sts#f bes nar�ttbFn�tt�°b�t�tori`e��ct'it t�ht1�'�t'�s complete or to recommend the request for den)al bi ttre ° <br /> raq�est ra�anlless of!ta potenllal merft � . � <br /> • Tha Owne,r hereby acknowledges and agraes to thEs ap p_��cetbn end further authorizes reasonabfe entry or�to the property by � <br /> City Staff, aonsultants, agettts, Comrimlaslon and``Cbtlricll Members tor purp�aes of Irnestipatfon-srid ver�icatlon�af this <br /> requsst. • •� � . - � <br /> • Applicartt ans�lar Owner acknowtedge they must be prssent at alf acheduled revle�ir moetings'nf th-e Pla'nnir�g � <br /> Commisslon�and-�Counctl. If an appilcant and/or ownsr is uneb4e to ettsnd a schedul� meettng, please ma�Ce � <br /> arrengemen�s.ta heve an autharized representetive at�end in plaoe of the appOca�nt/ouaner end advise the Clry Planner + <br /> assigned ta� �our pro act.� . . - . , t <br /> Property Owner�l $fgna Date: '�/Pl��� k <br /> Property Owrier 2 Signature: � Date: <br /> 6ubdlvtelon PecJtet Lsst Updafed: J9ltuery 2014 <br /> Pege i4�26 <br />