1.01 Payment Agreement Form - SignedGørfi.eld County
PAYMENT AGRËIMENT FORM
GARFIELD COUNTY ("COUNTY") and Property Owner ("APP|ICANT" )
Colorado. a Colorado Corsoration Xcel Ënerov
Public Service Company of
agrêe as follows:
1.
2. The Applicant understands and agrees that Garfìeld County Resolution No. 201&60, as
amended, establishes a fee schedule for each type appllcation, and the guidelines forthe
adrnlnistration of the fee structure.
3. The Applicanl and the County agree that because of the size, nature or scope of the
proposed proJect, it is not possible at this time tû æcertåin the full extent of the costs
involved in processing the application. The Applicant agreês to make payment of the Bâse
Fee, established for the Project, and to thereafter permit additional costs to be billed to the
Applicant. The Applicant agre€s to make additional payments upon notification by the
County, when they are necÈssary, as costs are lncurred'
4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of
consulting service determined necessary by the Board of County Commlssioners for the
consideration of an application or additionalCounty stafftime or expense not covered by
the Base Fee. lf actual recorded costs exceed the initial Base Fee, the Applicant shall pay
additlonal billings to the County to reimburse the County for the processing of the Project.
The Applicant acknowledges that all bllllng shall be paid prior to the final consideratÎon by
the County of any Land Use Change or Divislon of Land.
I hereby agree to pay all fees related to this applicatlon:
Billing Contact Pe ,ron. Carly Rowe Phone:303 s71.7t88
Billing Contact Address:1800 Larimer Strëet, Suite 400
Clty:Denver state: CO zip code:84202
Billing Contact Email . carly.r.rowe@xcelenergy.com
Printed Name of Person Authorized to Sign . Carly Rowe
%zoLt
submitted to the Countv an appllcatlon for the following Projqc!:
nos-Mitchell Creek Électrìc Transmíssion Line Rebuild
V4r,v1
{Signature)
l2
{Datei