Loading
Form preview picture

Get Impact Fee Receipt

Method of impact fee payment Cash Personal Check Check Certified Check Check Money Order Other specify Receipt Issued By Signature Printed Name Title Department Signed copy provided to Agent Other please describe Reference Codified Ordinances 1486. FORM C - RECEIPT FOR IMPACT FEES PAID APPLICATION NO. CITY OF PICKERINGTON OHIO BUILDING DEPARTMENT 100 LOCKVILLE ROAD PICKERINGTON OH 43147 614 837-3974 FAX 614 833-2201 website address http //www. pickerington*net office use To be completed by City Staff* Note In the event of an inconsistency between this form and the Codified Ordinances the Codified Ordinances govern* 1. Project Information ZONE DISTRICT AUDITOR S PARCEL LOT NO. Date 2. Subdivision Project Development Name 3. Applicant / Owner Information Property Owner - Who owns the land Street Address / City / State / Zip Phone Number Architect / Engineer /Surveyor/ Contractor - Plans by Applicant - Who is handling the permits Building Permit Application s Date of building permit application s Amount of impact fee paid Parks Recreation Facilities impact fee Police Facilities impact fee Government Facilities impact fee Street impact fee TOTAL FEES Total must equal Total fee calculated in Form B H0598986. 1 If impact fee payment is 0 indicate one of the following the Applicant has been granted a full Credit. of the impact fee owed as calculated in Form B and as approved by the City Attorney and City Manager has been posted with the City. the proposed development does not result in the demand for Public Facilities as provided in Chapter 1486. FORM C - RECEIPT FOR IMPACT FEES PAID APPLICATION NO. CITY OF PICKERINGTON OHIO BUILDING DEPARTMENT 100 LOCKVILLE ROAD PICKERINGTON OH 43147 614 837-3974 FAX 614 833-2201 website address http //www. pickerington*net office use To be completed by City Staff* Note In the event of an inconsistency between this form and the Codified Ordinances the Codified Ordinances govern* 1. pickerington*net office use To be completed by City Staff* Note In the event of an inconsistency between this form and the Codified Ordinances the Codified Ordinances govern* 1. Project Information ZONE DISTRICT AUDITOR S PARCEL LOT NO. Date 2. Subdivision Project Development Name 3. Project Information ZONE DISTRICT AUDITOR S PARCEL LOT NO. Date 2. Subdivision Project Development Name 3. Applicant / Owner Information Property Owner - Who owns the land Street Address / City / State / Zip Phone Number Architect / Engineer /Surveyor/ Contractor - Plans by Applicant - Who is handling the permits Building Permit Application s Date of building permit application s Amount of impact fee paid Parks Recreation Facilities impact fee Police Facilities impact fee Government Facilities impact fee Street impact fee TOTAL FEES Total must equal Total fee calculated in Form B H0598986. Applicant / Owner Information Property Owner - Who owns the land Street Address / City / State / Zip Phone Number Architect / Engineer /Surveyor/ Contractor - Plans by Applicant - Who is handling the permits Building Permit Application s Date of building permit application s Amount of impact fee paid Parks Recreation Facilities impact fee Police Facilities impact fee Government Facilities impact fee Street impact fee TOTAL FEES Total must equal Total fee calculated in Form B H0598986. 1 If impact fee payment is 0 indicate one of the following the Applicant has been granted a full Credit.

How It Works

fee receipt rating
4.8Satisfied
30 votes

Tips on how to fill out, edit and sign GOVERN online

How to fill out and sign Impact Fee Receipt online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Feel all the benefits of submitting and completing legal documents online. Using our solution filling in Impact Fee Receipt usually takes a couple of minutes. We make that possible through giving you access to our full-fledged editor effective at transforming/correcting a document?s original textual content, adding special boxes, and e-signing.

Fill out Impact Fee Receipt in just a couple of clicks by simply following the guidelines listed below:

  1. Find the template you require in the library of legal form samples.
  2. Choose the Get form button to open the document and move to editing.
  3. Fill out all the necessary boxes (these are marked in yellow).
  4. The Signature Wizard will allow you to add your e-signature after you have finished imputing information.
  5. Insert the relevant date.
  6. Check the whole template to be certain you?ve completed all the information and no corrections are required.
  7. Press Done and download the ecompleted document to the computer.

Send your new Impact Fee Receipt in an electronic form right after you finish filling it out. Your information is securely protected, as we adhere to the newest security standards. Become one of millions of satisfied customers who are already submitting legal templates from their homes.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Applicant FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Impact Fee Receipt

  • ordinances
  • surveyor
  • inconsistency
  • exemption
  • auditor
  • Subdivision
  • Applicant
  • specify
  • GOVERN
  • parcel
  • recreation
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.