HomeMy WebLinkAboutResponsible Party For BillingCITY OF ASPEN COMMUNITY DEVELOPMENT DEPARTMENT
November 2017 City of Aspen|130 S. Galena St.|(970) 920 5090
Agreement to Pay Application Fees
An agreement between the City of Aspen (“City”) and
I understand that the City has adopted, via Ordinance No. 30, Series of 2017, review fees for Land Use applications and
payment of these fees is a condition precedent to determining application completeness. I understand that as the property
owner that I am responsible for paying all fees for this development application.
For flat fees and referral fees: I agree to pay the following fees for the services indicated. I understand that these flat fees are
non-refundable.
$.___________flat fee for __________________. $.____________ flat fee for _____________________________
$.___________ flat fee for __________________. $._____________ flat fee for _____________________________
For Deposit cases only: The City and I understand that because of the size, nature or scope of the proposed project, it is not
possible at this time to know the full extent or total costs involved in processing the application. I understand that addit ional
costs over and above the deposit may accrue. I understand and agree that it is impracticable for City staff to complete
processing, review and presentation of sufficient information to enable legally required findings to be made for project
consideration, unless invoices are paid in full.
The City and I understand and agree that invoices mailed by the City to the above listed billing address and not returned to
the City shall be considered by the City as being received by me. I agree to remit payment within 30 days of presentation of
an invoice by the City for such services.
I have read, understood, and agree to the Land Use Review Fee Policy including consequences for no-payment. I agree to pay
the following initial deposit amounts for the specified hours of staff time. I understand that payment of a deposit does not
render and application complete or compliant with approval criteria. If actual recorded costs exceed the initial deposit, I
agree to pay additional monthly billings to the City to reimburse the City for the processing of my application at the hourly
rates hereinafter stated.
$________________ deposit for_____________ hours of Community Development Department staff time. Additional time
above the deposit amount will be billed at $325.00 per hour.
$________________ deposit for _____________ hours of Engineering Department staff time. Additional time above the
deposit amount will be billed at $325.00 per hour.
City of Aspen:
________________________________
Jessica Garrow, AICP
Community Development Director
Signature: _________________________________________
PRINT Name: _______________________________________
Title: ______________________________________________City Use:
Fees Due: $_______Received $_______
Case #___________________________
Please type or print in all caps
Address of Property: ______________________________________________
Property Owner Name: __________________________ Representative Name (if different from Property Owner)_______________________
Billing Name and Address - Send Bills to:
___________________________________________________________________________________________________
Contact info for billing: e-mail: _______________________________________ Phone: __________________________
1$325.00
Parks Dept.975
103250.00
tomandpolly@me.com
152 Haystack Road, Glenwood Springs, CO 81601
Sarah Oates
& Lacet Homeowners Association
Paulette Perkins, Thomas Hext
415 Lacet Lane & Lacet Subdivision
DocuSign Envelope ID: B1937645-C95C-4FEA-9CF4-08BFA4AE75B6
Property Owner
Paulette Perkins and Thomas Hext