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HomeMy WebLinkAbout1028 Imposition of Impact Fees to Fund Capital District for Emergency Services & Approving an IGA FFFPD 05-24-2023ORDINANCE NO. 1028 AN ORDINANCE OF THE BOARD OF TRUSTEES OF THE TOWN OF FIRESTONE, COLORADO, AUTHORIZING THE IMPOSITION OF AN IMPACT FEE TO FUND CAPITAL FACILITY EXPENDITURES BY THE FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT FOR EMERGENCY SERVICES; AND APPROVING AN INTERGOVERNMENTAL AGREEMENT BETWEEN THE TOWN OF FIRESTONE AND THE FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT PERTAINING TO SUCH IMPACT FEE WHEREAS, the Town is a municipal corporation of the State of Colorado, and the Frederick -Firestone Fire Protection District ("District") is a political subdivision of the State organized pursuant to the Special District Act, C.R.S. § 32-1-101, el seq.; and WI IEREAS, the District was organized to provide fire protection, rescue, and emergency medical services (collectively, "Emergency Services"), as well as other services including fire suppression, public education, hazardous materials, emergency medical, ambulance services, and community risk reduction to the citizens and property within its jurisdiction, and to individuals passing through its jurisdiction, either directly or through third - party providers; and WHEREAS, pursuant to §32-1-1002(1)(d.5), the District has authority to receive and spend impact fees or other similar development charges imposed pursuant to the provisions described in §29-20-104.5, C.R.S.; and WHEREAS, the District obtained an updated Impact Fee Study dated September 22, 2020, to evaluate the nexus between new development within the District's jurisdictional boundaries and the projected impact that such development has on the District's Capital Facilities ("Nexus Study"). The Nexus Study recommended an Impact Fee schedule for both residential and non-residential development at a level no greater than necessary to defray the impacts of new development on the District's Capital Facilities ("Impact Fee Schedule"); WHEREAS, on November 9, 2020 the District's Board of Directors adopted a Resolution approving the Impact Fee Schedule recommended by the Nexus Study; and WHEREAS, the Town has the authority to impose an impact fee or other similar development charge on behalf of the District to fund its capital facility expenditures, pursuant to the provisions described in §29-20- 104.5, C.R.S.; provided, however, that the Tocsin first enter into an intergovernmental agreement with the District, defining the impact fee or other similar development charge and the details of collection and remittance; and WHEREAS, in order to clarify expectations and outline the precise details for defining, imposing, collecting, and accounting of the District's Impact Fee, recently the Parties formalized an arrangement regarding such processes and standards through an Intergovernmental Agreement (the "Agreement") that serves the interests of the Parties and the residents of the District's Service Area•, and WHEREAS, the Board of Trustees desires to authorize the imposition of the District's Impact Fee within those portions of the District's jurisdiction that are also lying within the Town's territorial boundaries, or those areas that in the future become located within the District's service boundaries that also overlap with the Town's territorial boundaries ("District's Service Area"), subject to and in conformity with the Agreement. NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF TRUSTEES OF THE TOWN OF FIRESTONE, COLORADO: Section 1. There is hereby established a fire protection capital expansion fee which shall be imposed within the District's Service Area pursuant to the provisions of the Intergovernmental Agreement, attached hereto as Exhibit A and incorporated herein by this reference, by and between the Town of Firestone and the Frederick - Firestone Fire Protection District (the "Agreement"), for the purpose of funding capital facilities related to the provision of Emergency Services, as such facilities, improvements, or expenditures may be identified in the Agreement or a capital improvements plan adopted by the District. The amount of such impact fee is set forth in the Agreement. Section 2. The Board of Trustees hereby approves the Agreement, and the Mayor is authorized to execute the Agreement on behalf of the Town. To implement the provisions of the Agreement, all new construction and development within the District's Service Area for which a Development Permit application is submitted to the Town on or after June 1, 2023, shall be subject to and governed by the applicable provisions of the Agreement. Section 3. Upon expiration of the Agreement, or in the event the Agreement is terminated for any reason by the Town or the District, the Town shall cease imposing the District Impact Fee within the District's Service Area as of the date of termination. Section 4. All capitalized terms used in sections 1 through 3 of this ordinance and not otherwise defined herein shall have the meanings given to them in the Agreement. Section 5. If any article, section, paragraph, sentence, clause, or phrase of this ordinance is held to be unconstitutional or invalid for any reason, such decision shall not affect the validity or constitutionality of the remaining portions of this ordinance. The Board of Trustees hereby declare it would have passed this ordinance and each part or parts hereof irrespective of the fact that any one part or parts be declared unconstitutional or invalid. Section 6. All other ordinances or portions thereof inconsistent or conflicting with this ordinance or any portion hereof are hereby repealed to the extent of such inconsistency or conflict. INTRODUCED, READ, ADOPTED, APPROVED, AND ORDERED PUBLISHED IN FULL thisd+4h day of 144 2023. ATTEST: Www4grAw TOWN FIRES E, COLORADO Drew Alan Peterson, Mayor APPROVE AS TO William P. Hayashi, To Attorney EXHIBIT A [FFFPD Impact Fee IGAI INTERGOVERNMENTAL AGREEMENT FOR THE ASSESSMENT, COLLECTION, AND REMITTANCE OF EMERGENCY SERVICES IMPACT FEES This INTERGOVERNMENTAL AGREEMENT FOR THE ASSESSMENT, COLLECTION, AND REMITTANCE OF EMERGENCY SERVICES IMPACT FEES ("Agreement") is entered into by and between the Town of Firestone ("Town") and the Frederick -Firestone Fire Protection District ("District"). The Town and the District are referred to collectively as the "Parties" or individually as a "Party" RECITALS WHEREAS, the Town is a municipal corporation of the State of Colorado ("State"), and the District is a political subdivision of the State organized pursuant to the Special District Act, C.R.S. § 32-1- 101, etseg.; WHEREAS, the District was organized to provide fire protection, rescue, and emergency medical services (collectively, "Emergency Services"), as well as other services including fire suppression, public education, hazardous materials, emergency medical, ambulance services, and community risk reduction to the citizens and property within its jurisdiction, and to individuals passing through its jurisdiction, either directly or through third -party providers; WHEREAS, pursuant to §32-1-1002(1)(d.5), the District has authority to receive and spend impact fees or other similar development charges imposed pursuant to the provisions described in §29-20- 104.5, C.R.S.; WHEREAS, the District obtained an updated Impact Fee Study dated September 22, 2020, to evaluate the nexus between new development within the District's jurisdictional boundaries and the projected impact that such development has on the District's Capital Facilities ("Nexus Study"). The Nexus Study recommended an Impact Fee schedule for both residential and non-residential development at a level no greater than necessary to defray the impacts of new development on the District's Capital Facilities ("Impact Fee Schedule"); WHEREAS, on November 9, 2020 the District's Board of Directors ("Board") adopted a Resolution approving the Impact Fee Schedule recommended by the Nexus Study. A copy of the Impact Fee Schedule is attached as Attachment I; and, WHEREAS, in accordance with C.R.S. § 29-20-104.5(2)(c), the Parties desire to enter into this Agreement to define the District Impact Fee, and the details of assessment, collection, and remittance, all in accordance with the requirements of C.R.S. § 29-20-104.5 ("Act"). NOW, THEREFORE, in consideration of the mutual promises contained in this Agreement, the Parties agree as follows: AGREEMENT 1. Definitions. In addition to the definitions provided elsewhere in this Agreement, the terms "Development Permit" and "Capital Facility(ies)" shall be defined as provided in Sections 29-20- 103(1) and 29-20-104.5(4), C.R.S., respectively, including any amendments thereto. 5182842.2 Intergovernmental Agreement for the Assessment and Collection of Emergency services Impact Fees Page 1 of 7 5186645.2 "Contractor" means any person, firm, partnership, joint venture, corporation, or other entity required to obtain a building permit pursuant to the ordinances of the Town. 2. District Impact Fee. a. Impact Fee Schedule. The District has adopted an Impact Fee Schedule, attached as Attachment 1, to be applied to those portions of the District's jurisdiction that are also lying within the Town's territorial boundaries, or those areas that in the future become located within the District's service boundaries that also overlap with the Town's territorial boundaries ("District's Service Area"). The District's impact fee ("District Impact Fee") shall be imposed on all new construction and development within the District's Service Area for which a Development Permit application is submitted to the Town on or after June 1, 2023, unless the development is exempted, as provided in Section 2.c, or a credit is allocated to the development pursuant to Section 2.d. b. Nexus Study. The District may update the Nexus Study no less frequently than every five years ("Updated Nexus Study"), If the Updated Nexus Study recommends any changes to the Impact Fee Schedule, then by September 1 of the then -current calendar year, the District Board may, after considering such recommendations, adopt a Resolution approving an updated Impact Fee Schedule at a level no greater than necessary to defray the impacts of new development on the District's Capital Facilities ("Updated Impact Fee Schedule"). On or before September 15 of the then -current calendar year, the District shall submit to the Town a copy of: (1) the Updated Impact Fee Schedule; (2) the Resolution adopting the Updated Impact Fee Schedule; and, (3) the Updated Nexus Study. Before any Updated Impact Fee Schedule becomes effective, the Town Board of Trustees must agree to it and signify its approval through the adoption of a resolution. If the Town Board of Trustees does not agree to the Updated Impact Fee Schedule, then the District Impact Fee Schedule then in effect shall continue to apply. C. Exemptions. The District Impact Fee shall not be owed under any of the following conditions: Government. Development or construction by the federal government, state of Colorado, or the Town; 2. Previous Payment of Same Amount of Impact Fee. Development for which an impact fee has already or previously been paid in an amount that equals or exceeds the impact fee required under this Agreement and the permit(s) which triggered the collection of the development impact fees have not expired or been voided; Development Permit Denial. The Town denies the Development Permit application; 4. Accessory Structure. Construction of an unoccupied accessory structure related to a residential unit; Aro Ruilding Permit Required. Development for which a building permit is not required; or 6. Pending, Completed Applications. Any Development Permit for which the Contractor submitted a complete application before June 1, 2023. 5182842.2 Intergovernmental Agreement for the Assessment and Collection of Emergency services Impact Pees Page 2 of 7 5186645.2 Any claim for an exemption shall be made no later than the time when the applicant or Contractor applies for the first building permit. Any claim for exemption not made at or before that time shall be waived. d. Offsets and Credits. The District shall offset the reasonable costs of any capital improvements related to the provision of Emergency Services that are constructed, or real property that is dedicated, and accepted by the District, by or on behalf of any property owner or developer of real property, from whom a District Impact Fee is due and payable under this Agreement. e. Valuation of Credits. 1. Land dedication. Credit for land dedication shall be valued at the fair market value of the land established by either by agreement with the District or by a private appraiser acceptable to the District in an appraisal paid for by the Contractor. 2. Construction. Credit for construction of Capital Facilities shall be valued by the District based upon the completed engineering drawings, specifications, and construction cost estimates submitted by the Contractor to the District. The District shall determine the amount of the credit due based upon the information submitted, or, if determined that the information is inaccurate or unreliable, then on alternative construction costs acceptable to the District. f. Appeals. A District Impact Fee determination may be appealed as follows: An appeal shall be initialed on such written form as the District may prescribe and submitted to the Planning Section Chief. 2. The Planning Section Chief shall act upon the appeal within 30 calendar days of the filing of the appeal with the Planning Section Chief, and the applicant shall be notified of the Planning Section Chief s decision in writing. 3. The applicant may further appeal the Planning Section Chiefs decision to the District Board within 14 calendar days of the decision. 4. The District Board shall act upon the appeal within 45 calendar days of receipt of the appeal, and the applicant shall be notified of the District Board's decision in writing. 5. The District Board's decision regarding the appeal is final. 3. Procedures for Collection, Accounting, and Refunds. a. Fee Collection at Building Permit. The District Impact Fee shall be paid prior to the time a building permit is issued. b. Impact Fee Form. Any Contractor applying for a building permit, except those exempted pursuant to this Agreement, and the District shall submit to the Town a signed Impact Fee Form that is substantially the same as the form attached as Attachment 2, evidencing (1) the Contractor's payment of a District Impact Fee to the District and the amount of the District Impact Fee paid; or (2) that the District has granted to the Contractor a credit against the District Impact Fee 51829422 Intergovernmental Agreement for the Assessment and Cotlection of Emergency services Impact Pees Page 3 of 7 5186645.2 otherwise due, up to the full obligation of the District Impact Fee to be paid, as described in the Impact Fee Form. The Town will not issue a building permit for any improvements within the development until a signed Impact Fee Form is provided. The Contractor shall submit the signed Impact Fee Form with the other documentation required by the Town and District as part of the building permit application process. C. Fund Established. The District shall create a special fund, known as the "Impact Fees Fund", for the purpose of identifying and controlling all revenues and expenses attributable to the District Impact Fee. d. Revenue Sources. The Impact Fees Fund shall be funded through revenues derived from the collection of the District Impact Fee. e. Deposits. The District shall promptly collect and deposit all impact fees collected by it under this Agreement into the Impact Fees Fund. This fund shall be an interest -bearing account, and any interest income earned on the impact fees shall be credited to the account. Funds withdrawn from the Impact Fees Fund shall be used only for the purposes specified in Subsection (h) of this Section and said expenditures shall be subject to the provisions of this Section. f. Management. The District shall manage the Impact Fees Fund in conformity with Section 29-1-80 1, etseq., C.R.S. g. Expenditures. Eligible Expenditures. All monies collected from the District Impact Fee shall be used solely to finance or to recoup the costs of acquiring, constructing, improving, or expanding any capital improvement related to the provision of Emergency Services within the District's Service Area. Eligible costs which may be paid from revenues derived from such fees may include, without limitation, planning, design, surveying, permitting, and engineering costs; the cost of purchasing or leasing real property; construction costs; other capital improvement costs; the cost of purchasing fire apparatus; and the costs of administering the collection and expenditure of the fees. The proceeds of such fees may also be used to pay the principal sum and interest and other finance costs on bonds, notes, or other obligations issued by or on behalf of the District to finance such capital improvements. 2. Ineligible Expenditures. District Impact Fee collected under this Agreement shall not be used to pay for costs incurred for the repair, rehabilitation, or maintenance of existing or new Capital Facilities, costs related to remedy deficiencies in Capital Facilities existing on the Effective Date, costs incurred for the operation, repair, or maintenance of firefighting equipment, or costs incurred for the ongoing administration or operation of the funded and constructed Capital Facilities. h. Record of Impact Fees Fund Available for Public Inspection. A record of the Impact Fees Fund accounts shall be available for public inspection in the Fire Chiefs or designee's office during nonnal business hours. i. Annual audit By no later than August 15 of each year, the District shall provide for, and cause to be prepared, an annual, certified audit of the District's Impact Fees for the preceding 5182942.2 Intergovernmental Agreement for the Assessment and Collection of Emergenev services Impact Fees Page 4 of 7 5186645.2 year. The District shall then present the annual audit to the Town Board of Trustees at its regular meeting no later than September 31 st of each year. 1. An audit pursuant to this Agreement shall be conducted by one or more qualified professionals who are not employees or officials of the District and who did not prepare the Nexus Study or any District capital improvement plan. 2. The audit shall review the collection and expenditures of District Impact Fee for each and every project identified in any District capital improvement plan or for any Capital Facilities within the District's Service Area, and shall provide written comments describing the amount of District Impact Fee assessed and collected from within the District's Service Area, and spent on Capital Facilities. 4. Effective Date and Term. This Agreement is effective as of June 1, 2023 ("Effective Date") and shall continue in effect unless earlier terminated in accordance with Section 5. 5. Termination. a. The Parties may at any time mutually agree in writing to terminate this Agreement. b. Either Parry may at any time and for any reason terminate this Agreement upon 90 calendar days prior written notice to the other Party. C. The District shall notify the Town if other entities with which the District has an agreement to assess, collect, and remit impact fees (such as the Town of Frederick) are terminated. In such case the Town may terminate this Agreement within 90 calendar days after receipt of written notice from the District. d. Upon termination of this Agreement, the 'town shall cease collecting the District Impact Fee as of the date of termination. 6. Waiver of Claims; Limitation of Liability. a. IN NO EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER PARTY OR IIAVE ANY CLAIM OR RIGHT AGAINST THE OTHER PARTY, ARISING OUT OF OR IN ANY WAY RELATED TO THIS AGREEMENT, NO MATTER HOW CHARACTERIZED, WHETHER IN CONTRACT, WARRANTY, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY OR OTHERWISE, FOR ANY AND ALL DIRECT, COMPENSATORY, RELIANCE, PUNITIVE, LIQUIDATED, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES OF ANY KIND OR NATURE WHATSOEVER, INCLUDING LOSS OF REVENUE, LOSS OF PROFITS ON REVENUE, LOSS OF CUSTOMERS OR CONTRACTS, LOSS OF USE OF EQUIPMENT OR LOSS OF DATA, WORK INTERRUPTION, INCREASED COST OF WORK OR COST OF ANY FINANCING, AND ATTORNEYS' FEES, HOWSOEVER CAUSED, EVEN IF THE SAME WERE REASONABLY FORESEEABLE. NOTWITHSTANDING, THE FOREGOING SHALL NOT APPLY TO SECTION 7.C. b. Each Party hereby forever, fully and finally releases, relieves and discharges the other Party from and against from all known and unknown charges, complaints, claims (including specific performance and any other equitable remedies to which such Parry may otherwise be entitled as a 5182842.2 Intergovernmental Agreement for the Assessment and Collection of Emergency Services Impact Fees Page 5 of 7 5186645.2 result of a failure by the other Party to comply with its obligations hereunder), grievances, liabilities, obligations, promises, agreements, controversies, damages, actions, causes of action, suits, rights, demands, costs, losses, debts, penalties, fees, wages, expenses (including attorneys' fees and costs actually incurred), and punitive damages, of any nature whatsoever, whether at law or in equity, known or unknown, which they have, or may have had, against the other Party, whether or not apparent or yet to be discovered, or which may hereafter develop, for any acts or omissions related to or arising from this Agreement. Each Party acknowledges that it fully understands and voluntarily accepts this Agreement's terms based on the consideration set forth in this Agreement and not on any other promises or representations by the other Party or any attorney or other agent or representative of the other Party. Notwithstanding, the foregoing wavier of claims provision shall not apply to any cross -claims or separate actions brought by the Town against the District for breach of contract and cost -recovery or a right of contribution/reimbursement pursuant to Section 7.c. 7. Joinder; Joint Defense; Cross -Claim; Reimbursement. a. Joinder. In the event of any potential litigation or judicial or legal proceeding brought by a third -party against the Town in connection with the imposition of the District Impact Fees or relating in any way to this Agreement, or in the event any lawsuit or judicial or legal proceeding brought by a third -party against the Town raises issues which are substantially the same as or connected with the issues arising out of this Agreement, then the District agrees that it has an interest in the subject of the action, that it shall be indispensable to such proceedings, and its direct, named participation is necessary and required if complete relief is to be afforded, that it shall be joined and consents to being made an additional party to such proceedings, that it shall support and otherwise cooperate with the Town in any defense to such proceedings as an active participant, and the Town may allow the District to join such proceedings. The Town also may cause the District to be joined to such proceedings with prior notice to the District and the District hereby consents to such joinder. b. Joint Defense. In connection with any matter contemplated by Section 7.a, the Parties shall enter into a joint defense agreement in a form mutually acceptable to the Parties, containing customary terms and conditions for the purpose of, among other things, preserving confidentiality and any applicable privilege attached to information and data exchanged by the Parties and pursuant to this Agreement; provided, however, that any such joint defense agreement shall not preclude the Town from asserting any cross -claims or actions against the District to which it may be entitled to assert. C. Cross -Claims and Reimbursement. In connection with any matter contemplated by Section 7.a., the Town may bring and file a cross -claim or separate action against the District for breach of contract and any and all damages incurred by the Town arising from or related in any way to such claim. Moreover, the District shall be liable to and shall reimburse the Town within 120 days of receipt of a written demand (or the Town shall be entitled to recover from the District, as the case may be) for any and all necessary, reasonable direct costs, such as attorney fees, legal expenses or litigation costs, incurred by the Town: (1) in disputing any matter or any issues contemplated under Section 7.a.; or (2) in seeking to obtain or enforce any benefit or right provided by this Agreement. The Town may seek contribution from the District during or following a final adjudication or determination of any potential litigation or judicial proceeding contemplated under Section 7.a. or 7.c., regardless of whether the Town or the District (if joined as a party) prevails in the proceedings or resolves the dispute with such third -party via a voluntary, out -of -court settlement, or an administrative or judicially approved settlement. 5182842.2 Intergovemmental Agreement for the Assessment and Collection of Emergency Services Impact Fees Page 6 of 7 5186645.2 8. Governmental Immunity. Nothing in this Agreement shall be construed as a waiver of the limitations on damages or any of the privileges, immunities, or defenses provided to, or enjoyed by, the Parties under federal or state law, including but not limited to the Colorado Governmental Immunity Act, C.R.S. § 24-10-101, et seq. 9. Entire Agreement. This Agreement is the entire agreement between the Parties with respect to the matters covered by it, and supersedes any prior understanding or agreements, oral or written, with respect thereto. 10. TABOR. This Agreement while requiring reimbursement pursuant to Section 7.c. shall not be construed or interpreted as creating, directly or indirectly, a general obligation debt, multi -fiscal year obligation or other financial obligation whatsoever of the District within the meaning of any constitutional or statutory limitations or requirements, nor shall this Agreement directly or indirectly obligate the District to make payments beyond those appropriated for the current fiscal year. 11. Notices and Requests. Any notice perntitted or required by this Agreement shall be in writing and shall be hand -delivered or sent by certified or registered mail, postage prepaid, return receipt requested, to the following addresses. Notices are effective upon receipt. Town of Firestone Attn: Town Manager 9950 Park Avenue Firestone, CO 80520 Frederick -Firestone Fire Protection District Attn: Fire Chief 8426 Kosmerl Place Frederick, CO 80504 12. Miscellaneous. Colorado law governs this Agreement. Nothing contained in this Agreement shall invalidate any existing agreement for impact fees or development charges between the District and a developer to pay for Capital Facilities. Jurisdiction and venue shall lie exclusively in the Weld County District Court. This Agreement may be amended only by a written instrument mutually executed by the Parties. Course of performance, no matter how long, shall not constitute an amendment to this Agreement. If any provision of this Agreement is held invalid or unenforceable, all other provisions shall continue in full force and effect. Waiver of a breach of this Agreement shall not operate or be construed as a waiver of any subsequent breach of this Agreement. This Agreement shall inure to the benefit of and be binding upon the Parties and their legal representatives and successors. Neither Party shall assign this Agreement. This Agreement is not intended to, and shall not, confer rights on any person or entity not named as a party to this Agreement. This Agreement may be executed in counterparts and by facsimile or electronic PDF, each of which shall be deemed an original and all of which shall constitute one and the same instrument. IN WITNESS WHEREOF, the Parties have executed this Agreement. TOWN OF FIRESTONE, a municipal corporation of the State of Colorado By. - -- Drew Peterson, Mayor FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT, a political subdivsib311of the State o Colorado Board President 5182842.2 Intergovernmental Agreement for the Assessment and Collection of Emergency services Impact Fees Page 7 of 7 5186645.2 Date: 51 2--/ IDZ3 ATTESTED: Kristi K. BashoT, Town Clerk APPROVED AS TO FO Date: QS I a( I aoas 4�rez Board Secretary SEAL .a 5182942.2 Intergovernmental Agreemcnt for the Assessment and Collection of Emergamcy Services Impact Fees Pegc 8 of 7 51866452 ATTACHMENT FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT EMERGENCY SERVICES IMPACT FEE SCHEDULE Effective June 1, 2023 Residential Unit Type Fee Per Dwelling Unit Single Family $974 Multifamily $825 Nonresidential (Commercial, Industrial, etc.) Fee Per Square Foot 1 $0.81 No individual landowner is required to provide any site -specific dedication or improvement to meet the same need for capital facilities for which an impact fee is imposed pursuant to this schedule. Intergovernmental Agreement for the Assessment and Cotlection of Emergency Services Impact— Attachment 1 5186645.2 ATTACHMENT 2 FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT DEVELOPER IMPACT FEE FORM OUTLINE Developer Information Development Company State of Incot oration Address Telephone Fax Contact Person Name Title Telephone Cell Phone Email Address Development Information Name of Development Location (Address or Cross Streets) Residential Units Non -Residential Square Footage Single Units $ per unit) Commercial $ per square foot) 2+ Units $ per unit) Office/Industrial ($ per square foot) Manufactured Homes $ per unit Industrial/Flex ($ per square foot) Impact Fee Check one: 0 No impact fee owed OR 0 Impact fee owed in the amount of $ If applicable: 0 A credit has been granted in lieu of paying all or a portion of an impact fee. Description and of the credit (attach additional information if necessary) and amount of impact fee credit: The developer must submit this signed Impact Fee Form with the other documentation required by the Town as part of its development permit application process. If the Town denies the application, the developer is not required to pay the Impact Fee. If the Town grants the application and issues a development permit, the developer must pay the Impact Fee, unless the development is exempted or a credit is allocated to the development, before the Town will issue a building permit in connection with the development. DEVELOPER/COMPANY: FREDERICK-FIRESTONE FIREPROT.DISIRICF By: Date: M Date: Fire Chief 5 t82842.2 Intergovernmental Agreement for the Assessment and Collection of Emergency services Impact Attachment 2 5186645.2