HomeMy WebLinkAbout0.3 Payment Agreement FormEXHIBIT 2
Payment Agreement Form
[3g Garfield Countyl
PAYMENT AGREEMENT FORM
GARFIELD COUNTY Y I -COUNTY") afii1 Property Dwrte r rA1112L1CANT"j
Kirslie Steiner
agree as follows:
1_ The Applicant has submitted to the County an application for the fallowing Prvjtct:
Orchard Creek Ranch Miner Subdivision — — —
2. The Applicant understands and agrees that Garfield County Resolution No, 2D14-60, as
amended, establishes a fee schedule far each type application. and thom guidelines for the
adrninistrzitipn of the fee structure,
3, The Applicant and. the Coµntx a yet that btesiusc crF the• s,r . naturc iftr scope of the
proposed project: it l5 not possible at this time to ascertain the full dent of the costs
ir~woIv d in processing the appli tiorr_ The Applicant agrees. to make payment of the Base
Fey, established for the Project, and to t'hereaftet permit additional c¢ to be billed to the
Applicant. The Applicant agrees to make additional Qayments pert notification by the
County, when they are neEessaryr as costs are irLcunre 1.
4_ The Base Fee shaLl be in addition to and exclusive of any cc F for publication or cost �f
consulting service determ in.ed necessary by the Board of County Commissioners for the
consideration of an application Pr additional County staff ifirEw or expense not covered by
the Sa5e Fee_ Gf actual reoofded cost=exceed the initial Base Fee, the Applicant shall pay
additional billings to the County to reimburse the County: For the processing of the Project -
The Applicant acknowledges that all bill inF shell b paid prior to the final consideration by
the County: of any: Land Use Change or Division of Land.
l hereby agree to pay all fees felated to this application
Billing Contact Person: Irst a Steiner
0156 County Road 137
Billirrs Contact Address'
City: Glenwood Springs SState: GO zip code: 816° 1
Billing Contact Email_ ocreekr§grail - rn
phone: 11 . -- )'
Printed Name of Person Authorized to Sign:
r
(Signature) (Date)