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· Planning Land Use Application <br /> Page 2 <br /> <br />Billing Information (if different from either applicant or owner information) <br />Address: <br /> <br /> Street CAy State <br />Phone (w): Fax: Phone (Iff): <br /> <br />ZipCo& <br /> <br />Signature: Date: <br /> <br />Agreement to Pay Costs of Review: <br /> <br />It is the policy of the City of Elk River to require applicants for land use approvals and licenses to <br />reimburse the City for costs incurred by the City in reviewing and acting upon applications, so that <br />these costs are not borne by the taxpayers of the City. These costs include all of the City's out-of- <br />pocket costs for expenses, including the City's costs for review of the application by the City's <br />environmental Consultant, City Engineer, City Attorney, or other consultants, and may also include <br />a charge for extra staff time to process particularly complex applications. <br /> <br />The City will bill the applicant for these costs as they are incurred, and payment will be due within <br />thirty 0©) days of mailing of the bill. If payment is not received as required by this by this <br />agreement, the City will suspend the application review process and may deny the application for <br />failure to comply with the requirements for processing the application. Payment for costs will be <br />required whether the application is granted or denied. <br /> <br />The undersigned has received the City's policy regarding the payment of costs of review, <br />understands that reimbursement to the City of c~incurred in review~k%the application will be <br />required as set forth in the policy, agrees to rejaiqbu/fse the City as re~'egVin the policy and make <br />payment when billed by the City, and agrees/hat/the application rp/l'y_ b~/deniejJ for failure to <br />reimburse the City for costs as provided in/tb/ejfolicy. <br /> <br />Description of Project/Request/Name of Plat <br /> <br />Please describe your project/reason for your request. If necessary, attach a written narrative. <br /> <br />Submission Requirements <br /> <br />The City requires six (6) copies of all required drawings. Drawings shall be folded, at a scale no <br />smaller than 1"=50', and no larger than 24"x36" in size. One (1) set of 11'x17' reductions is also <br />required. All required information must be submitted on the application date in order for an <br /> <br />$:kPLANNINGkFormsXa~pplication FormsNApplicadon Form Revised 4 21 03.doc <br /> <br /> <br />