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• <br /> 4 <br /> AGREEMENT RE DEFERRAL OF FEE PAYMENT <br /> The undersigned ("Applicant") has applied to the City of Mounds View <br /> "City") for inner spec f c ty of app cat n that zs bei sub <br /> bulldiA permit: ..rezonin , etc:.<]. <br /> ......... ... ..... <br /> As part of the application process, the Applicant has requested that the City <br /> defer payment of fees to the City for the processing of the above-referenced <br /> applications. The City has consented to the deferral of payment of such fees <br /> provided that the Applicant acknowledge that it will be ultimately responsible for the <br /> payment of those fees and any costs, expenses or attorneys' fees incurred by the <br /> City in collecting payment of those fees. <br /> In consideration of the City deferring the payment of such fees, the Applicant <br /> agrees as follows: <br /> 1. The Applicant acknowledges that it is responsible for the payment <br /> of t sertspec c:typ of fees and further understands that the approximate <br /> amount of those fees are insert dollar mour3ts for fecal . <br /> 2. The Applicant acknowledges responsibility for the payment of the <br /> above fees and any other fees reasonably incurred by the City in processing <br /> the application. <br /> 3. The Applicant will pay all fees reasonably incurred by the City <br /> within 10 days after a written request by the City for payment. <br /> 4. If the Applicant fails to pay the fees within the time period <br /> specified above, the Applicant will be responsible for all costs and fees <br /> incurred by the City, including City staff time and attorneys' fees, incurred <br /> by the City in collecting the fees. <br /> Dated: <br /> Insert Applicant's name If Applicant <br /> is a corporat o ,:: :agr em t should <br /> also be signed b its pr icipal effacer <br /> a .>: aeholde11 <br /> ,. . ......................... <br /> JJT66020 <br /> MU125-14 <br />