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APP�ICATIQN FEES;(Planning &Zoning Coo�nabr to[X]thoss which apply) <br /> A licsllon Base Faes; <br /> Sketch Plan Revlew Class I. II&Iq �t Totat <br /> Subdlvislon A lication Class I 8 I or Lot Line Reetran ment �5� <br /> praHmi Plat Re�vleyy ius 53011ot Class IIl�atl non-resldanas( g��' <br /> Fu�al Piat Revlew �5� <br /> Renewal o Subcf r�siort 5700• <br /> APP��a�(Cless l,l!&111 or Lat Line ReaRangemen!) �g�p• <br /> No Chan o from Ori inal A rovat <br /> 3fcetEon Escrow Cleas I tl 8 III and Lot Line Rearrart ement No Publto Im rowm�r,ts g2 5pp <br /> a iCetbrl Escrow Cless 1 II$ Ili end Lot llne itearren emant with Pubpc t rowmena S�0,o00 <br /> PaAc #a be delemtined er Sec on Bz 227 As incurred <br /> 8 cta�i fm rovsment Fees• ����►s��19fneering�I,�gA!R4yiaw <br /> Pro sed Privete R�ds lus 3.50Aineel oot C�t Total <br /> p d Pubti�Roa�is . ws S,SO/li'naal foot 5650"+ <br /> Re uest fot Cf lo Acc t ExEslin Privata Roed $958'+ <br /> R �st for CEt to maintnin unlm ved lic road �5�� <br /> aed Sanita Sewer Main Extensaon lus S26 stub $�5 <br /> Pro osed Watermaln Extenslon tus 251atub 5275�'+ <br /> ad Storm Sewer S m exckW� culverts $275"+ <br /> On-sife S ,Stle Eveluat on R�view IICabEe bo rurai subd)vlsion 60/ r lot a2� <br /> x$sa <br /> Flaxible Ilcat�an Fsea!Misuttanaous F�ac �p��'�i���ng d�l.egal l�evlew <br /> Va�iencn Cost Y�� <br /> VacaUon of Publf�Raed$100 er benetitin ro rt �7Q0 minimum er a �70�• <br /> Eesement Vac�lion Assodated w(th a 5ubdlvfsion �z�; <br /> �as�nent CreaUon with Subdiviaion A icalbn No fee <br /> Fscmw for Vac�tions ancf Easem�►ts ���� <br /> PRD IicaGon w�th Subdivlsion S3bldwelp ur�it x�35 <br /> eal of AdmMlst�iive Declslon ��Q <br /> 'plua�Englrwerlrtg&Lagal R,vi�►r <br /> �scrowAmount $Z 500 / $1D,000 ! Otti� Yotal <br /> TOYAL DUE <br /> APPLfCAFIT ANDIOR OWHER; <br /> • Agree t�provide aN Informatlon�equlred or requested by the Planning Depa�menl <br /> • Aoree to pay sdlltional!ee�tstaft t4;�e no1 covered In�q oriyinet fee payment)endlar co�suttant�xpenaes ina►Red in�eviaw <br /> oF ihls applicadan,and <br /> • Certiy tha! 1he informalbn suppkfed Ia brue and comeci !o the bast of Firslhe� knowledge. Th� appOcartt and awnar <br /> recagnite thst they are�olely responsibh for submittfng a complete applfcatlon 6einp awar�thai upan failu�s ta do <br /> io, the staff h�s no aRern�ttva but to rsject it untll ft is complete or to rscom�nd the request for deelal o(th• <br /> rea�s!ragardres:ot�cs potanuat�n.rf1, <br /> • The Owr►er hereby ackno�wledpes and agrees lo this�pplicaGon and furSher autlrorizea reasonable entry onta the property by <br /> Cfty &taff, oonsuManta, �g�nts, Commission and Coundl Members for purposes ef lmeadpa8on and verificaUan of lhis <br /> raqueri. <br /> � �►pp�k�nt andior Owna� acknowi�dge they mus! be prasent at �N icheduled revlew meetings oI !he Ptanning <br /> Conanlssion and Cauncll. If an appncanl andlor owner is unffilp io attend a scheduled meetiny, pleasp make <br /> arrangements to heve an authwlzed repnsar�tsUve ett�nd fn ptace o1 the app�cantlowner end advise the City Planaer <br /> a ned to r <br /> � Property Ow�net 1 Signature; -d� � De� � <br /> ..�.� <br /> �---�,.�... <br /> � Date_ <br /> � �T�16/17"� f��G.�fi'3�f� — `/ <br /> � + io���uu u�aa�ea a o,s V�7�3� � (h— /�' <br /> <r��'�� �Da 1e �� <br /> MAY i 6 �.01� <br /> ...._..,.._ ___.._ #� � � 311 <br />