1OF1UPDATED12/5/2017
Agreement for Reimbursable Services
In the Review of Conditional
Use Permit Requests
Village of Brooklyn,
Dane/Green County, WI
The cost of application review for all Conditional Use Permit shall be borne by the Applicant.
The Applicant shall pay all reasonable Village of Brooklyn incurred expenses relating to a
particular Conditional Use Permit request. This may include meeting charges, professional
consultants, or other relevant Village expenses incurred in connection to the Conditional
Use Permit request. The Village reserves the right to apply the charges for these services
as well as for staff time, mileage, and Village equipment usage expended in the
administration, investigation and processing of applications to the Applicant.
The Applicant is required to provide the Village with an executed copy of this agreement as
a prerequisite to the processing of the Conditional Use Permit request application
(Ordinances 117-352, 117-353, 117-355 & 117-357) requests. The submittal of a
Conditional Use Permit request application shall be construed as an agreement to pay for
such professional review services applicable to the proposal. Review fees which are applied
to an Applicant, but which are not paid within 30 days of the issuance of a bill by the Village
will accrue interest at a rate of 1.5% per month until the fee is paid in full. Failure to pay the
fees in due time can result in further consequences, including disruption of the project.
_________________________________________________________________________
Applicant and/or Property Owner(s)
for ______________________________________________________, agrees to reimburse the
Project Name
Village of Brooklyn all review costs associated with, but not limited to, the Village Engineer,
Village Attorney and any other consultants in connection with the Conditional Use Permit
request and, further, agrees to reimburse the Village for other administrative staff review if,
in the judgment of the Village Board, such reimbursement is warranted.
Dated this _____ day of , 20 .
____________________________________ _________________________________
Signature of Applicant Printed Name
____________________________________ _________________________________
Signature of Owner (if diff. than applicant) Printed Name
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