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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 agreā‚¬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