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I understand work completed without written authorization from the Town Board or their representatives is subject to removal <br /> and/or replacement at the Owner's expense. I agree that all work shall be in compliance with Chapter 8.01,of the Town's <br /> Ordinances at the time of installation and with the notes listed on the opposite side of this form. I agree to inform any contractors <br /> involved with the installation of the driveway and/or culvert of this information and the notes listed. <br /> For lots with Public Recreational Trail easements or stormwater easements, a staff level site plan review is required.These lots <br /> are subject to restrictions per Town Code. <br /> Applicants with driveways that meet the long and/or shared driveway ordinance requirements,driveways requiring a variance or <br /> lots that require a site plan review will be billed actual review fees in excess of the initial application fee. <br /> In the event that the Town incurs additional fees to obtain compliance with the terms of the driveway permit or site erosion <br /> control,the applicant shall be responsible for all such fees. <br /> X c .n.46. 06/09/21 <br /> Builder's Signature Date <br /> I understand and agree that I will be responsible for payment of actual review fees if I require a variance,site plan review,or if <br /> my driveway is a long and/or shared driveway. I will receive an invoice for those fees,which invoice must be paid within thirty <br /> (30)days of the date of invoice. I further understand that, if I dispute any such invoice, I must inform the Town Clerk of the <br /> dispute within thirty(30)days of the date of the invoice by submitting a letter to the Town Clerk identifying the disputed fees and <br /> the reason for the dispute. In the event no timely dispute is raised and I fail to timely pay the invoice, I agree that the fees may <br /> be placed on the tax roll for the tax parcel served by the driveway together with an administrative charge equal to 10%of the <br /> outstanding amount due or$25.00,whichever is greater. <br /> X Ge44,0 06/28/21 <br /> Owner's Signature Date <br /> X / / <br /> Owner's Signature Date <br /> (All owners must sign) <br /> (Over) <br />