HomeMy WebLinkAbout1.05 Payment Agreement Form1) General Application Materials
d) Agreement to Pay Form
Garfield County
PAYMENT AGREEMENT FORM
ARFIElD CO.UNT\' ("COUNTY") and Property Owner ("APPLICANT") JIM IV\ ie, QC!t:ik..,
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2. The Appl/cant understands and agree~ t~at Garfield County Resolution No. 2014-60, as
a·l)lended, establishes ii fee schedule for each type application, and the guidelines for the
administration of the fee structure.
3, The Applicant and the County agree th.at because of the size, nature or scope of the
proposed project, it is not possible a.t this time to ascertain the full extent of t)le costs
inv.olved In processing the application. Tile Applicant agrees to make payment of the Base
Fee, established fortJie Project, and to thereafter permit additional costs to be billed to the
Applicant. The Applicant agrees to make additional payments upon notification by the
County, when they are. necessary, as costs .are.lncurr'ed.
4. The Bas~ Fee shall be in adctition to and exclusive of any cost for publication or cost of
consulting service determined necessary by the Board of County Commissioners forthe
consideration of an appllcatlpn or additionai County staff time or expense not covered by
the Base. Fee. If actual rei;orded costs exceed the Initial Base Fee, th.e Applicant shall pay
additional billings to the County to reimburse the County for the processing of the Project.
The Applicimt acknowledges that all billing shall be paid prior to the final consideration by
the County of any Land Use Change or Division of Land.
I hereby agree to pay all fees related to this applicaiion: .. . . . .. . . ;
Blllin~ <:c:intact Person: I $\r\Caj V\CL-:.B.vt1 ch
B[JIJl)g¢iintact Address: 'TcQ <f>OX. 4:1
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Phone: (l]J.J<Z 5S' f 001 .
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Prl~tec!Nan1e of Person Authorized to Sign: .. ~ () I m Vlii..1 e,, :B Y-uCh.i
(Signature)