Fact Finding
Application
I.
Type of Fact Finding application:
Written Response (response provided approximately two weeks from date of submittal; $300 fee)
Meeting with DSD staff (scheduled within approximately three weeks from date of submittal; $600 fee)
II. Applicant Information (PLEASE PRINT):
Name: _____________________________________ Title: ______________________________________
Phone: _____________________________________ Fax: ______________________________________
Address: ____________________________________ City: _____________ State: ____ Zip: _________
Email Address: __________________________________________________________________________
III. Contact Information (PLEASE PRINT):
Name: _____________________________________ Title: ______________________________________
Phone: _____________________________________ Fax: ______________________________________
Address: ____________________________________ City: _____________ State: ____ Zip: _________
Email Address: __________________________________________________________________________
IV: Scope/Questions: please attach additional sheet if necessary:
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--------------------------------------------------- Staff Use Only --------------------------------------------------
Date of submittal: ________________________ Fee: $_______________Staff: _________________________
Project No:
New
Existing____________
SDEV #:
New
Existing ___________
Property address/location (provide APN if known, and attach exhibit if possible):
__________________________________________________________________________________________
Discipline
Fee Code
Discipline
Fee Code
Civil
PESTAFF*
Site Planning/Zoning
SPSTAFF*
Building Safety
BSCSTAFF
Traffic
SPSTAFF*
Fire Prevention
FPBASEFEE*
This publication can be made available in alternate formats (Braille, large print, computer diskette, or audiotape)
upon request. Contact the Development Services Department at (602) 262-7811 voice or (602) 534-5500 TTY.
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Rev. 9/09