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I- ~ ~ ~tIl<: ~ <:~ \w) ~ E-<E-<~ E-<~~ ~ tIl ~ o~ ~~ ....l tIl a::l ~ la::l ~ ....l....l~ ~~ ~ltIll~ ~ ~ ~ tIl ItIl ~I~IO ~ 0 !'I,. . .> . " .~ .. .... ~ ~ .9 '" ~ Q) ~ 0... Q) gj u ...... o Q) ~ t:l.. LOG ITEM #- 2.S'" Page_" (~"off) .. -' ~ -Lcg~ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT III SUBDIVISION REVIEW FEE WORKSHEET ~ Pre-Applicalion i!~. ~ - .'2-Z- Date~S- ' Applicant Name: ~ C- Authorized Representative: PROJECT TYPE Long Plat Base Fee Short Plat Base Fee Binding Site Plan (includinQ. PRRD's) FEE 4,169,00 1,324.00 ~ es<c,. 4,169,00 vt..J. 1~9 REQUIRED PROJECT TYPE ENVIRONMENTAL REVIEW Checklist FEE REQUIRED .. 441.00 "q... 4lf ( v Final BSP & PRRD Final Short Plat Final Long Plat Notice of Application HearinQ Notice Notice Boards # X $8.00 Revision (requiring 2110 Public HearinQ Notice) Variance (Major, Economic Use) Variance (Minor) 147.00 147.00.. 147.00 v' J L(t'} <f~. HEALTH DEPARTMENT 127.00" 12-11.~' Subdivision Review Base 127,00 v l?_ f)....,~ Plus $15.00 Per Lot ~/ , [.0, ~ Well Site Inspection $62 hourly rate Notice of Application SEPA Hourly Rate (after 24 hours) 127.00 49.00 _I.L ,e 319.00 v.~ Jq. (p.c 'It/"'/~ .......,- 255.00 98.00 127.00 981.00 490.00 PUBLIC WORKS Short Plat $50.oo/Hour** Long Plat 5-14 Lots $1,195.00 Plus $120 Per Lot cJ..)~ Long Plat 15 or More Lots 48 ~ :rf 1'1 s: ~.- $1,195,00 Plus $179 Per Lot P. t2,"f'V. ~L 0 'J" J 8'1, hl~\~ \~?,/J' J. . ) Appeals Notice of Appeal Additional Site Visits 490,00 '127,00 98.00 SUBTOTAL #1 L/ .~R~ SUBTOTAL #2 I' '/~Cnf) RECEIPT # FOR OFFICE USE ONLY CHECK # GRAND TOTAL I C6 ~ Iq (G?S\:> _ 1,ZA:>'5 . Subtotal Column #1 Subtotal Column #2 **Short Plat hourly fee to be billed. FEE MAY. 9 . 2000ATE , LOG IT1=AA \\Permitserver\Home\pennit\P~\FEES\5LfBlt~b1-01-2005.DOC - ?r Page_ ~ _ol;:; -. _ Page 1 of2 ,'" Other fees (but not limited to) payable before final recording: Environmental Review: Additional hourly charge after first 24 hours of review - see Hourly Rate, The Applicant shall be notified when the hourly charges become effective and upon each additional 24 hour period. , Minimum recording fee $85,00 Taxes paid up to date for the year the plat is to be recorded Cost of survey - see a licensed surveyor Cost of road construction, storm drainage, erosion control, etc, Cost of any required reports (geo-tech, wetland, eagle management, etc.) Cost of school and fire district fees (if applicable), These fees are' effective January 1, 2005 and are subject to chan'"ge, . . ... 1, :: :, '.'~ \\PermllselVer\Home\pennit\PLNCNTR\FEES\SUBFEE_01-Q1-2005.OQC Page2of2 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SUBDIVISION REVIEW FEE WORKSHEET -- --- Pre-Application # "f>(2..~C4-- O~O2~ \~ ) Date Q--\ HI '> f'lI(-o.,.U / . \ . / I Applicant Name:' LL.d /,\", i~ ~.-\ ~ / I WE"..fO R..::e: I / \ V 'V -, c-:... ~ ~ I Authorized Representati,re: -1 ~~ I -:J'~'i ~~ ~ \. ---- PROJECT TYPE ~E REQUIRED PROJECT TYPE FEE REQUIRED Long Plat Base Fee 4,083,00 iNMENTAL REVIEW Short Plat Base Fee 1,297,00 Checklist 432,00 l./.2? Binding Site Plan L{ I oX'3 (jncludina PRRD's) 4,083.00 Notice of Application 124,00 SEPA Hourly Rate (after 24 Final BSP & PRRD 144.00 hours) 48.00 Final Short Plat 144.00 Final Long Plat 144.00 li.f4. HEALTH DEPARTMENT Notice of Aoolication 124.00 12..<.f Subdivision Review Base 313.00 -:Z:I~ Hearina Notice 124.00 12<.J Plus $15.00 Per Lot - 4 2 L.Dt~,. t' 'I-2n--.. Notice Boards :f# X $8,00 1(0. Well Site Inspection 244,00 '- .- Revision (requiring 2110 96.00 $60 hourly rate Public Hearino Notice) 124,00 Variance (Major, Economic Use) 961,00 PUBUC WORKS Variance (Minor) 480,00 Short Plat $5O.oolHour** Long Plat 5-14 Lots Appeals 480.00 $1,062,00 Plus $106 Per Lot ;'" Long Plat 15 or More Lots 421.0\- l,oCt;.f. g: <e.9l.f. Notice of APpeal 124,00 $1,062,00 Plus $159 Per Lot '1~$2 . Additional Site Visits 96.00 SUBTOTAL #1 lJU9 SUBTOTAL #2 q4~~ + .. .. . f. Subtotal Column #1 Subtotal Column #2 -Short Plat hourly fee to b!~~!~~ GRAND TOTAL I 0 :S.'!5!tCR5Jlc \" ,1lIl;i. # ~ \\pennitserveMome\p~~E~ r-}, .'., . - -",,-'.: ",',: -', . , . - ..'......, ,_. . ",~..""'..,..,.'.., 2005:.' ........':"''''',..;<'i Page 1 of 2 , 121 " l ., ". Other fees (but not limited to) payable before final recording: Environmental Review: Additional hourly charge after first 24 hours of review - see Hourly Rate, The Applicant shall be notified when the hourly charges become effective and upon each additional 24 hour period, Minimum recording fee $85.00 Taxes paid up to date for the year the plat is to be recorded Cost of survey - see a licensed surveyor Cost of road construction, storm drainage, erosion control, etc. Cost of any required reports (goo-tech, wetland, eagle management, etc.) Cost of school and fire district fees (if applicable), These fees are effective January 1, 2004 and are subject to change, \\pennitserveMome\permit\PlNCNTRES Page2of2 ': , .,i',;', : ,; ",.': '. "..-'. , '> " ,.,' ' . i!~~f; ':. ..: ' :;':i;:i: ; , . . , l ',".-",' ': ,"',;;{,;;:;, ,.-', " ; ,:', " ,::: ;j ;: ;' .' " . :l: . '," ", '" , '. . , ' 'RI ::: , :: , , " . , " " . " "" ., ,... 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' " , :: , . , , ':; Jefferson County D C D 621 Sheridan Street Port Townsend, WA 98368 (360) 379-4450 fax (360)379-4451 Invoice No. 05-512 INVOICE ~ Customer Name Wefore, LLC Attention: Mike Asmundson Address 7377 E. ~ubletree Ranch Road #180 City Scottsdale, State AZ ZIP 85258 Phone Date MLA# Case # Case # 5/9/2005 MLA05-00286 Qty Description Unit Price TOTAL 1 Binding Site Plan $86.00 $86.00 1 Final Long Plat $3.00 $3.00 1 Notice of Application $3.00 $3.00 1 Hearing Notice $3.00 $3.00 1 Sepa checklist $9.00 $9.00 1 Health Department Subdivision Review Base $6.00 $6.00 1 Public Works Long Plat review $133.00 $133.00 1 Public Works Long Plat per lot review $960.00 $960.00 Please Make Payable to: Jefferson County Please Mail to: 621 Sheridan Street Port Townsend, WA 98368 SubTotal $1,203.00 Payment Details '\ 0 Cash 0 Check @ Outstanding TOTAL $1,203.00 Name Check # I l)'], i) Receipt# Department of Community Development LOG ITEM # '2.S- PaQ3 (p of.!l- . . t . LOG ITEM # z.:s- P"">'''?'''l n C'.:;;,t,><1 of.~ '1. -.-. ....- ~ o z w I- <( o I (-) 5 ",,1; { ,J >- I- Z ::> 0 : () ; z ~ 0 0 en a: u.. : a: 0 z W w 0 U. > ;: " w ... ...' U. a: W 0 <.> W ::l J a: 0 OLYMPIC PRINTERS 1-800-535-9204 -0: OFFICE COPY -' <( I- o I- >- o z w a: a: ::> o