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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 DEVELOPMENT REVIEW APPLICATION STAFF TO COMPLETE- Project Number: (Staff to PROJECT INFORMATION Project Name: Project Description: Property Address/General Location: Total Land Area (acres): Parcel NOTE THAT CHECKS WILL NOT BE ACCEPTED WITHOUT YOUR APPLICATION ATTACHED WITH THEM PLANNING DEPARTMENT DEVELOPMENT REVIEW FEES APPLICATION TYPE APPLICATION FEE Annexation $2,000 (10 acres or less) $3,500 (over 10 acres) Rezoning $1,000 Site Plan $3,500 (5 acres or less) $5,000 (over 5 acres) 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 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--- SUBDIVISION Sketch Plan $1,000 Preliminary Plat* $3,000 Final Plat $1,500 Minor Plat or Replat $1,500 Plat Amendment $1,000 Plat, Right-Of-Way or Easement Vacation $1,000 OTHER CMRS Facility $500 Building or Structure Mounted*** $500 Freestanding*** $500 Roof Mounted*** $270 Small Cell or Microcell Facility**** $270 Small Cell Network**** ***For non-recurring fees, including a single up-front application that includes up to five small cell facilities, with an additional $100 for each small cell facility beyond five, or $1,000 for non-recurring fees for a new pole not a collocation) intended to support one or more small cell facilities. ****Per small cell facility per year for all recurring fees, including any right of way access fee or fee for attachment to Town-owned structures in the right of way. Zoning Variance – Non‐Residential $1,000 Zoning Variance – Residential $500 Conditional Use $500** Additional Review Fee (after two reviews) $200: plus $50 per hour ($1000 maximum fee) per review Additional Charges $50 per hour for additional research; at staff discretion Construction Document (CDs) Review $500 NOTES: * Preliminary/Final concurrent review shall be charged as preliminary. There may be an additional $3,000 application fee charged for requests with infrastructure issues; at Planning Staff discretion. 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