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TOWN OF MONUMENT 645 BEACON LITE ROAD MONUMENT, CO 80132 PLANNING DEPARTMENT Phone: 719‐481‐2954 Email: [EMAIL REDACTED] www.townofmonument.org PLANNED UNIT DEVELOPMENT (PUD) & REZONING DEVELOPMENT REVIEW APPLICATION Project Number: PROJECT INFORMATION Project Name: Project Description: Property Address/General Location: Total Land Area (acres): Tax Schedule PLANNING DEPARTMENT DEVELOPMENT REVIEW FEES PLANNED UNIT DEVELOPMENT (PUD) Preliminary PUD* $3,500 (5 acres or less) $5,000 (over 5 acres) Final PUD $3,000 PUD Major Amendment $2,000 PUD Minor Amendment $1,000 Rezoning $1,000 NOTES: * Preliminary/Final concurrent review shall be charged as preliminary APPLICANT INFORMATION Name: Person to Contact: Mailing Address: Phone: Email: PROPERTY OWNER INFORMATION Name: Person to Contact: Mailing Address: Phone: Email: PRIMARY POINT OF CONTACT FOR THIS PROJECT: ---PAGE BREAK--- CERTIFICATION I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filling out this application, I am acting with the knowledge, consent, and authority of the owners of the real property, without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit Town officials to enter upon the property for the purpose of inspection, and if necessary, for evaluation of the proposal. I understand that as the applicant designated on this application, I am liable for all fees and costs associated with the Town’s review of this project. These may include, but are not limited to engineering and consultant fees, public notice costs, recordation fees, and any other fees paid by the Town in connection with or related to the review of this application. Payment of the above fees shall not relieve the payment of any other fees imposed by the Town. Applicant: Name (printed) Date: By: Signature As owner of the aforementioned property, I hereby consent to the submission of this application and authorize the applicant to act on my behalf with regard to this application. Owner: Name (printed) Date: By: Signature