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APPLICATION�EES:(Planning&2oning Coordinator to[X]those which apply) <br /> A kk�tfon 8ase Fees: <br /> Cost Totai <br /> 5ketch Plan Review Ciaes I tl &111 350` <br /> Subdivision of s Lot Line Rea�ran emer� $700" <br /> Subdivislon ic�ation Class I&II $700'` <br /> Prelimin Subdivision licat[on lus$301tot Class Ill&all non-restderrtiel $850'� <br /> Final Plat lication C{ass III $700* <br /> Park Fees to be determined r Secti�n 82-227 TBD <br /> �1 and En ineerin �2eview As incurrad <br /> Renewai of Ctass 1 It&III Subdivislon $350 <br /> Renewal af Lot Line Rcarran ement $350 <br /> "plus,Enginoerin�S Legal Re�rfew <br /> S !im rovement Fees: <br /> Cost Tot�l <br /> Pro sed Private Roads lus$.50llinea!foot $650•+ <br /> Pro ed Pubtic R�ads us�.50/Iineai foot $950`+ <br /> R uest for C to Acce Existi Private Road $850" <br /> Pro sed Sanita 5+ewoer Main Exterreion us$25/stub $275"+ <br /> Pro ed Waterm�in Extensioh us$25/�tub �275"+ <br /> Pro ed Storm Sewer S m excludin outverts $250'� <br /> On-aite S tem Site Evalu�tion Revfew a licable to rural subdivision $60/ r lot xS60 <br /> 'plu�,Englneering 8 Lagal Revfeniv <br /> Flexibfa A Ifcation Fees/Misce{laneous Fees <br /> Cost Total <br /> Variancc �700" <br /> Vacation of Pubiic Road$100 r benefiti o rt $700 minimum r a Varies <br /> asement Vacatfon Aasxfated with a Subdfvision 5200'" <br /> PRD ication with 3ubdivision $35/dwellin unit x$35 <br /> •plus,Engineering 8 L,�at Review <br /> Total <br /> Eac�ow Amdut�t �i,�� � �� <br /> 70TAL DUE ;���� �-- <br /> A�PLICANT AND/OR OWNER: <br /> • Agree to provide all information requi�ed or requested by the P{anning Department <br /> � Agree to pay additfonal fees (staff tfine not covered in the original fee payment) and/or cor�ufta�►t expense5 <br /> Incurred in review of this appiicatbn, and <br /> . Certify that the information suppfied is true and correct to the best of hfsiher knowledge. The appllaant and owner <br /> �eoagnize that they a�e solely re�ponsible far submitdng a complete applicadon being aware that upon <br /> feilure fio do so�the staH has no altsrnative but to reject it until it is c:omplebe or to r�cammend the request <br /> for denial M the raquest regardless oT Its pobenUal merit. <br /> • The Ovmer hereby adcnowiedges and agrees to th� application and further auttwrizes �easonable e�ry onto the <br /> praperty by City Shaff, consultar�ts, agents, Commission and Cou�cil Members for purposes of lnvestf�ation and <br /> verificatian of this request. <br /> • Appticant and/or Owner acknowledne they must be present at all acheduled revisw meetings of the <br /> ptanning Commisaion and Council. If an applic�M and/or owner is unable to atte�a scheduled meeting, please <br /> make arrangements to have an authorized representative attend in place of the applioant/ovmer and adv�e the City <br /> Planner assigned to our e , <br /> Owner's 8ignature: Date: � � , <br /> (3wnet's Signature: Date: <br /> Appticant's Signature: Date: ,�` L/r/� <br /> � <br /> ApplicanYs 6ignature: bate:�,�L� <br /> RECElV�� <br /> �A,R, � � 2i;5;� � <br /> ,� � ; <br /> �i�X�C�RC�Q � <br />