1 of 2 01/2021
Fee Refund Request Form
The refund will only be issued to the business or person that issued the original payment, if this should not be
the case, documentaon must be provided by the original business or person, and notarized, stang the refund
is due to another party.
Refund will not be processed if any documentaon or informaon provided is insucient or incomplete.
Refunds for fees paid to other agencies, such as EPC, must be requested from those agencies.
PLEASE NOTE PRIOR TO SUBMITTING THIS FORM:
Please aach the following documents to the Fee Refund Request:
1) Cashier Receipt or Online Payment Receipt
2) Copy of canceled check* or credit card receipt**
* Please redact full roung number and all but last 4 of account number from checks.
**If a credit card was used to pay and that card is no longer valid, a signed leer from the card holder is required explaining
that the card is not eligible for refund and a check is requested.
For Right-Of-Way Applicaons:
Wrien refund requests must be submied within sixty (60) days of permit issuance and construcon must not
have commenced for applicant to be eligible receive a refund of the original permit fees (not including the base
applicaon fee which is not refundable). Refunds will be processed at the discreon of the Administrator or their
designee.
For Building Permit Applicaons:
Wrien refund requests must be submied within 60 days of permit issuance and construcon must not have
commenced. The applicant will receive a refund of 50% of the original permit fees (not including radon and
landscaping fees, which are non-refundable). Refunds are not issued for fees $100 or less, with the excepon
of clerical errors resulng in overpayment. Clerical errors are eligible for a refund of 100% of the overpayment
amount. Wrien request must submied within one year from the date of the occurrence.
For Zoning Applicaons:
Refund amounts will be calculated based on the processing stage the applicaon has reached when the wrien
refund request is made.
For Site and Subdivision Applicaons:
Any applicaon that is withdrawn within three (3) business days of submial shall be entled to a 75% refund.
Refunds for any applicaon that is withdrawn aer three (3) business days of submial will be processed at the
discreon of the Administrator or their designee.
For Mobility/Impact Fees:
Reason for refund request should be listed as one of the following:
• Grandfathering - Paid mobility should have been assessed Transportaon/ROW
• Paid in Error - Should have used oset account (Notarized assignment leer necessary)
• Overcharged/Incorrect Assessment (Non-grandfathering)
• Permit modied/changed aer fees were paid
• Permit Canceled - refunding fees paid
• Other (provide explanaon)
