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I, hereby certify and attest that I own the contiguous properties at , located in the city, also indicated with the following parcel identification numbers. Consolidate these parcel identification numbers to the master parcel identification number and account billed to the address below.
Master Parcel No.
Billing Address:
As such I acknowledge and accept that I will be charged and will pay in a timely manner all water quality user fees applied under the interim and regular fee schedules according to City Code. I certify and attest
that this information is true and correct under penalty of applicable state and local laws. I request that these water quality accounts be consolidated for the purposes of water quality user fee billing.
Certifier and Applicant City Engineer (Witness)
Printed Name: Printed Name:
Signature: Signature:
Date: Date:
(Ord. 2009-2, passed 6-1-2009)
I, hereby certify and attest that I represent the condominium properties at , located in the city, also indicated with the following parcel identification numbers. Consolidate these parcel identification numbers to the master parcel identification number and account billed to the address below.
Master Parcel No.
Billing Address:
As such I acknowledge and accept that I will be charged and will pay in a timely manner all water quality user fees applied under the interim and regular fee schedules according to City Code. I certify and attest
that this information is true and correct under penalty of applicable state and local laws. I request that these water quality accounts be consolidated for the purposes of water quality user fee billing.
Certifier and Applicant City Engineer (Witness)
Printed Name: Printed Name:
Signature: Signature:
Date: Date:
(Ord. 2009-2, passed 6-1-2009)
I, own the following property:
Master Parcel No.
Billing Address:
Hereinafter referred to as the OWNER.
And I, own the following property:
Master Parcel No.
Billing Address:
Hereinafter referred to as the ASSIGNEE.
By virtue of this Agreement, the assignee agrees to pay for
equivalent residential units (ERUs) of impervious area from the owner’s parcel being described as to dimensions in Attachment “A”. The Attachment shall be considered the legally controlling description of this agreement. This impervious area ERU will be deducted from the owner’s property and added to the assignee’s property impervious area measurement. Should the assignee fail to make the payment then the responsibility will revert back to the owner. This agreement may be terminated by either party by giving written notice to the other party with thirty 30 days notice. The adjustment in water quality service fees will not be reflected until the billing year following the year the agreement is agreed to or terminated.
Owner Assignee
Printed Name: Printed Name:
Signature: Signature:
Date: Date:
(Ord. 2009-2, passed 6-1-2009)