City Of Moorpark
Reimbursement Agreement
Community Development Department
I, the undersigned property owner or applicant, hereby authorizes the City of Moorpark to review the
submitted Plans for the above named referenced permit/entitlement request(s) in accordance with the
Moorpark Municipal Code including Title 17 Zoning. I am herewith depositing $_____________ to cover
staff review, coordination and processing cost based on real time expended.
I understand that if the final cost is less than the deposit fee, the unexpended portion will be refunded
after receipt and approval of a written request. I further understand that if the final cost is more than the
deposit fee, within 30 days of receiving billing from the city, I shall pay the balance due not to exceed
seventy five percent (75%) of the deposit fee unless the City Council authorizes collection of more than
75% of the deposit fee, I also understand that the City Council may approve the collection of an additional
deposit.
Pursuant to the Zoning Code, Discretionary Permits may only be granted if all billed fees and charges for
processing the application request that are due for payment have been paid. If in the course of
processing such plans, the applicable billed fees and charges have not been paid, the City may, after a
hearing deny such plans based upon the applicant's failure to pay said fees and charges.
____________________________________________________________________________________
Name of Property Owner or Designee (print or type)
____________________________________________________________________________________
Address of Property Owner (do not use Post Office Box)
Name of Applicant (if different than Principal)
____________________________________________________________________________________
Address of Applicant (do not use Post Office Box)
____________________________________________________________________________________
Signature Date
____________________________________________________________________________________
(If Corporation, list corporate officer(s) authorized to act on behalf of the corporation.)
Case Number(s):
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