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HomeMy WebLinkAboutpitkin.planning.273521400005 DOCUMENT LAYOUT THIS FILE MAY OR MAY NOT CONTAIN ALL OF THE INFORMATION LISTED BELOW IN THE FOLLOWING ORDER Summary Sheet Resolution for the BOCC and/or P&Z Ordinance for the BOCC and/or P&Z Determination for the Hearing Officer Administrative Determination Staff Memo Application Public Notice, Acceptance Letter, Referral(s) Letter Site Plan Miscellaneous Plat copies (11x17) PARCELID:j273S-214-00-00S DATE RCVD: I 7/19/2007 # COPIES: I 1 CASE NAME:}Jeep Liberty Temporary Commercial Use/Special Event Permit PROJADDR:j3129 Maroon Creek Rd T Lazy 7 OWNJAPP:IAspen Productions ADRj PO Box 8862 REP:I Liz Long ADR:I PO Box 8862 FEES DUE:I$463 FEES RCVD:I$463 #24270 CASE Nolp11O~07- PLNR: I Ezra. Louth is REFERRALS I CfSJZ:1Aspen, CO 81612 PHN:laspenproduction CJSJZ:IAspen, CO 81612 PHN:1917-837-0S08 ALLOCATED HOURS:I % OVER: 13.6 3 REF:I MTG DATE REV BODY PH IAdministr Ino I I I / I REMARKsreter to rep 7/19/07 CLOSED:I 7/19/2007 BY: /bj BYlbj NOTICED DUE: I DATE OF FINAL ACTION: J BOCC Reso:1 BOCCOrd: I PZ: I HRG OFF: I HO INDEX: I ADMIN: /067-2007 ADMIN INDEX: 12007 7/19/2007 PLAT RECORDED I VR APPROVAL DATE: I CASe TYP: rTemporary Use Permit CASE TYP2: ISpecial Event Permit - Minor CASE TYP3: I CASE TYP4: I PLAT (BK.PG): I VR EXPIRES:l CASE TYP5: CASE TYP6: CASE TYP7: Date Scanned: 7/19/07 Riolo""'"., r" F;od,,, So< #8' I ADMINISTRATIVE DECISION OF THE COMMUNITY DEVELOPMENT DIRECTOR OF PITKIN COUNTY, COLORADO, APPROVING A TEMPORARY COMMERCIAL USE/SPECIAL EVENT PERMIT FOR CASTORRI & CO TO FILM A JEEP LIBERTY COMMERCIAL AT THE T-LAZY SEVEN RANCH JULY 23-25 Administrative Decision NO~-2007 RECITALS 1. Pursuant to Subsection 4-30-50(i) of the 2006 Pitkin County Land Use Code, the Community Development Director of Pitkin County, Colorado ("Director") may approve a Temporary Commercial Use/Special Event Permit for commercial activities or special events. 2. Castorri & Co. (hereafter, the "Applicant"), has applied to the Director for approval of a Temporary Commercial Use/Special Event to film a Jeep Liberty commercial on the T-Lazy 7 Ranch property from July 23-25. 3. The filming will be conducted on July 17, 2007 from 7:00AM to 7:00PM. Actors, staff, and personnel associated with the filming will total approximately 30-40 people. The Applicant has indicated that no road closures are required, no parking will take place on Maroon Creek Road and the entirety of the filming will be conducted on the T-Lazy 7 Ranch. 4. This application was referred to the Sheriff's office, Aspen Fire District, and the Emergency Manager, and no comments were received. 5. The Director finds that, to the extent applicable, the application complies with the standards in Subsection 4- 3-50(i) of the 2006 Land Use Code. THE DIRECTOR HEREBY APPROVES the Temporary Commercial Use/Special Event Permit for the Castorri & Co. filming of a Jeep Liberty commercial on the T-Lazy 7 Ranch subject to Applicant's compliance with each of the following conditions: 1. Applicant shall adhere to all material representations made in, or in connection with, the application. Specifically the approved safety and operations plan shall be strictly adhered to. 2. Any debris and/or props associated with the event shall be removed at the end of the event. 3. Parking is prohibited on County roads, including, but not limited to Maroon Creek Road. 4. Filming and associated activities are limited to the T-Lazy Ranch proper. 5. Failure to comply with the conditions of approval may result in revocation of this permit. APPROVED this l ~ thday of July, 2007. ~ - "'. R (Q,.l. J.,,( J\- m Houben Community Development Director PID:273521400005 PI I 0-0:1 - PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT TEMPORARY COMMERCIAL USE/SPECIAL EVENT PERMIT --- INFORMATION ON THE PERMIT PROCESS AND APPLICATION The temporary use and occupancy of public or private properties and/or roadways for commercial activities or special events that are not otherwise permitted within a specific Zone District may be permitted by the Community Development Director. 1 The Community Development Department coordinates the review of these activities/events by various referral agencies in order to ensure that the activities/events are conducted in a safe manner, and that any impacts on the community or on public resources are mitigated by the permittee. The permittee is required by the Code to demonstrate that adequate provisions have been made for police supervision, public parking, insurance, site set-up, maintenance and clean-up, emergency services, and safety of operations. A permit will not be issued unless these requirements are satisfied. Special Events include, but are not limited to the following: ~ Public events for amusement or entertainment, such as concerts or festivals; ~ Fund-raising or non-commercial events to benefit nonprofit religious, educational, or community service organizations; and ~ Foot races and bike races. Temporary Commercial Uses include, but are not limited to the following: ~ Filming of movies, commercials, or promotional spots; and ~ Trade shows. EXEMPT EVENTS: lis this afund-raising or non-commercial event for a nonprofit religious, educational, or community service organization? I Will the event be conducted entirely (including parking) in a permanent facility on private property owned or leased by the sponsoring entity? I Will the event have a maximum duration of 1 day and be limited to I [J Yes the hours between 8:00 AM and 9:00 PM? I [J Yes I[J X Yes lOX No I [J No I [J X No If you answered YES to ALL of the questions above, then a permit from the Community Development Department is NOT REQUIRED. However, you must still obtain any other required permits or approvals, such as a special event liquor license, pyrotechnics permit, etc. Contact Community Development at (970) 920-5526 for assistance in determining what other permits may be required. In addition, you must notify the Sheriff and the County Engineer of the time, place and estimated attendance for your event at least 72 hours prior to the event. OTHER EVENTS AND USES: If you answered NO to ANY or ALL of the questions above, you must complete the attached application and submit the required fee and application (with all required attachments) to the Community Development Department for review. 1 See Subsection 3-200-030 of the Pitkin County Land Use Code (the "Code"). 7-06-04 The Community Development Department will be the primary contact for the applicant during the review process. Once the completed application and fee are submitted, Community Development will distribute the application to the necessary referral agencies and, if necessary, will schedule a date for the referral agencies to review the application with applicant and/or put the referral agencies directly in touch with applicant. Following review of the application, the Community Development Director will issue an Administrative Determination granting or denying the permit. The Board of County Commissioners reviews events of duration longer than 72 hours. Special event permit applications and temporary commercial use permit applications shall be submitted to the Community Development Department not less than 60 days prior to the event date, along with the following: 1. Fee for application: $1275 (Major Events), $430 (Minor Events); make check payable to "Pitkin County Treasurer", Whether or not an event constitutes a "Major Event" or a "Minor Event" will be determined by staff at the time of submittal. The fee is based on 2 hours of staff time, for Minor Events, and 6 hours of staff time, for Major Events; if staff review time exceeds 2.4 hours for Minor Events, or 7.2 hours for Major Events, the applicant will be charged for time in excess of 2/6 hours at a rate of $215 per hour. 2. Map (sketch or site plan) of event site, detailing any temporary or permanent structures, street closures, all impacted properties (identifying owners), and parking. 3. Vicinity map. 4. Schedule of events/activities. 5. Detailed Safety and Operations Plan (see Attachment A). 6. Proof of General Liability insurance/indemnification (naming Pitkin County as an "Additional Insured") and proof of Liquor Liability insurance (if applicable). 7. Letter of authorization/executed contract granting approval to use the specific site(s) from public or private property owner(s). 8. Written approval of any applicable Caucus(es)/Homeowners' Association(s). 9. Copies of all other applicable permits. (Some helpful contacts and references are included in Attachments B and ~.) Other permits may be processed concurrently with the application. 7-06-04 PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT TEMPORARY COMMERCIAL USE/SPECIAL EVENT PERMIT APPLICATION Please answer the following questions in detail. If an item does not pertain to your activity/event, please mark it "N/A. " 1. Name of evenUactivity: 2. Location of evenUactivity: 81611 Jeeo Libertv T Lazv 7 Ranch. 3129 Maroon Creek Rd.. Asoen. CO 3. Type of evenUactivity (parade, assembly, sporting event, filming, etc.): Filmina 1 vehicle over 3 davs at the T Lazv 7 Ranch If the evenUactivity involves movement (e.g., parade, foot race), describe the route, including starting and dispersal locations, and attach a map. 4. Name of applicant (sponsoring organization/event coordinator): Liz Lona Address: Asoen Productions. P.O. Box 8862. Asoen. CO 81612 Phone(s): cell 917-837-0508 E-mail: aspenproductions@mac.com Name and title of person primarily responsible for oversight of evenUactivity: Marv Beth Castorri Address: 306 S. Washinaton. Suite 226. Roval Oak. MI 48067. Phone(s): 248-541-0900 E-mail: castorriiID.sbcalobal.net Cell phone, radio frequency or other means of contact during the event/activity: 248- 761-1000 5. Date(s) of evenUactivity: time(s): Sunrise Ending time(s): Julv 23-25. 2007 Starting Sunset 6. Number of people involved (including participants, staff (including volunteers), and spectators): aoox. 30-40 If you will be using volunteers, what type of advance training will they be receiving and when? N/A 7. Will you provide notification of the evenUactivity to the public and/or to adjacenUaffected property owners? No If YES, describe who you will notify, when, and how: _ 8. Are you planning to erect temporary structures or tents? If so, describe location, size, purpose, and if they will be heated/air conditioned: No Temporary structures shall conform to any and all applicable building codes and other County regulations. The applicant shall obtain any required building permits from the County Building Department. If a tent is to be erected, the Fire Marshal shall be contacted to complete a life safety inspection prior to the event. 9. Do you require electricity; if so, what is the source of your electric power? _ We will be orovidina our own source . Temporary electric power connection(s) shall conform to any and all applicable e/ectrical codes and other County regulations. The applicant shall obtain any required electrical permits from the County Bui/ding Department. 10. Will there be amplified sound, music, or fireworks? If YES, please describe: No . If fireworks are planned, the applicant shall obtain approval and a permit from the applicable Fire Marsha/ and the Sheriff, and shall comply with the County regulations on Noise Abatement (Code Title 6, Chapter 6.36). 11. Will any food be sold? _No_ If YES, the applicant will be required to submit an Event Information Application to County Environmental Health. Applicant may also be required to submit an Event Coordinator's Application and, in connection with its food vending, applicant shall submit, or require each of its independent caterers to submit, a Special Event Food Service Application to County Environmenta/ Health. 12. Will you be providing portable toilets and/or hand-washing stations? _No_If so, where will they be located and how many will be provided? Describe the types, number and location of trash/recycle containers to be provided: _ N/A Trash/recyc/e containers and toilets/hand-washing stations must be removed within 24 hours of the event/activity. Name, title, address, e-mail and telephone number(s) of person responsible for clean up: N/A 13. Will beer, wine, or other alcoholic beverages be dispensed at your event? No If YES, complete Attachment D and contact the County Clerk & Recorder's Office to determine if you need to obtain a State of Colorado Special Event Liquor License Permit. 14. Are you requesting use of any County properties (e.g., parks, trails)? _No_If YES, please specify: The County may require applicant to post financial security to ensure restoration/revegetation of County property. 15. Are you requesting road closures? _No_If YES, please include date(s)and times: Road From To . Date Road From To . Date _ If road closures are approved, the permittee will be required to publish notice of the closures in /ocal daily newspapers at least 2 days prior to the closures. 16. If you do not require road closures, will your event/activity use any public or private roads? ~If YES, describe: 17. Where will you provide parking? T Lazv 7 Ranch Number of spaces available at each location: N/A Describe any arrangements made for towing illegally parked vehicles: N/A 18. Will shuttle service be provided? _No_ If YES, describe shuttle service (including hours of operation) and methods to be used to encourage use of public transit: 19. Describe traffic control measures to be instituted: N/A 20. How many personnel will be provided for security, and traffic and parking control? _ N/A Identify any subcontracted security and traffic/parking control service providers (name, address, contact person, telephone number(s), and e-mail): N/A Law enforcement services will be charged out at the current hourly rate established by the Sheriff's Department and ONL Y if resources permit. The Sheriff reserves the right to place officers and staff at the event, at the permittee's expense, if deemed necessary in the interest of public safety. For further information, contact the Sheriffs Office. 21. How many and what size vehicles and equipment do you plan to use to stage the . evenUactivity? Please provide the location for staging of all vehicles and equipment. _ T Lazv 7 Ranch 22. Are you planning to use fixed wing or rotor wing aircraft for any aspect of the evenUactivity? If YES, please describe: No ALL APPLICANTS: Please complete the attached Safety and Operations Plan or provide a separate document containing all of the required information (see Attachment b.). A Safety and Operations Plan is required for planned events/activities because the emergency service infrastructure is funded by the Pitkin County taxpayers to offset unplanned events that pose a threat to life and property. As a result, any demand for services generated by a planned evenUactivity should be alleviated ahead of time by the event sponsor or organizer. The posting of financial security, in an acceptable form, may be deemed necessary by the Pitkin County Sheriffs Office upon review of the Safety and Operations Plan. 23. Describe any special requirements or aspects of your evenUactjvity that have not been covered above: N/A I certify that I am an authorized representative of the applicant, Castorri & Comoanv Inc. . and have the power to execute this application on behalf of the above-named organization. All of the above statements are true to the best of my knowledge, information and belief. I acknowledge that any Temporary Commercial Use/Special Event Permit that I receive shall be subject to the following terms and conditions, in addition to those specified in the Administrative Determination/BOCC Resolution granting the permit: A. The County may revoke a Temporary Commercial Use/Special Event Permit prior to or during the event if the permittee violates any of the conditions of the permit. B. The County may require the permittee to participate in a post-event debriefing with referral agencies, affected citizens and other interested/involved parties to address issues that arose during the event. C. The County may require the permittee to post financial security to ensure compliance with any of the conditions of the permit. D. If a major incident or emergency occurs in the County during the event, the Sheriff reserves the right to remove any and all emergency medical, fire and law resources from the event. E. The permittee shall adhere to all representations made in the application and in public meetings. Signature of Authorized Representative of Applicant Business Manaoer Title Patricia A. DuPont Print Name 306 S. Washinoton. #226. Roval Oak. M148067. Address ATTACHMENT A SAFETY AND OPERATIONS PLAN REQUIREMENTS The purpose of this part of your application process is to promote public safety in the conduct of special events in Pitkin County. Please provide the following information as it applies to your event. Note that some questions will not be applicable, or appropriate, given the nature and/or scale of your event. Contact the Public Safety Council for additional information or direction regarding these requirements. . Is this a corporate-sponsored event for profit? XYESD or a non-profit event? 0 (Check one.) The following statements assess the level of risk to the participanUcitizens of the County by the event and its potential to affect normal public safety resources. (Check appropriate boxes.) DYES 0 X NO A) Does the event pose risks to the individual participants and public safety? DYES 0 X NO B) Does the event occur in wilderness, swift water/open water or mountainous terrain and have the potential to affect normal public safety resources? If either A or B were answered YES, then the applicant may be required to post financial security with the Sheriff's Office. All participants of an event are encouraged to purchase and carry during the event a hiking, fishing, hunting, snowmobile, boat registration or back county certificate, which may cover costs of an emergency through the Colorado Department of Local Affairs-DOLA Grant. The Safety and Operations Plan can be written in outline format. It should: 1. Outline, in detail, all of the activities, risks, or other safety issues associated with staging or participating in your event. 2. Outline, in detail, the safety measures you will have in place for the event: A. Name the single point of contact public safety officials will be in communication with at all times during the event. List all means of communication and numbers/frequencies (e.g., cell phone, radio). Where will this individual be located during the event? B. Who has overall responsibility for the safety of the event? C. Describe (bullet topics) your safety briefing for event staff. D. Outline, in detail, your safety preplans. 1) Is your written safety/security plan developed and distributed? Please provide a copy. It should address the following items: a) Dispatch procedures for your internal emergency response resources. Drawings (flow chart) may be helpful. 7-06-04 b) Requests for assistance procedures. c) Event communications plan. Drawings may be helpful 2) Please ensure that your map attached to the application clearly identifies emergency facilities, emergency access routes and hazards. 3) Outline, in detail, how you will detect and respond to event emergencies. 4) Describe event-provided emergency medical personnel, facilities and provisions for staff and participants. Will your event's safety facilities (aid stations, heli-spots, etc.) be prominently and clearly marked? If so, how? (The event may be required to supply its own Emergency Medical Services (including ambulance service), depending on the scale and risk assessment of the activities. You may contact local fire and ambulance departments, or private providers for quotes and availability.) E. Are there any low risk hazards likely to be encountered by the staff or participants and how will they be addressed (e.g., road crossings, stream crossings, etc.)? F. What are your inclement weather contingency plans? 7-06-04 ATTACHMENT B CONTACT LIST (All Area Code "970") DEPARTMENT OR AGENCY I CONTACT PERSON Aspen/Pitkin County I Cheryl McCulloch Airport Aspen Fire District I Ed Van Walraven Aspen Police I Loren Ryerson Department Aspen Community \ Linda Gerdenich Relations/Com- munication Basalt Fire District I Bill HardingNonda Williams County Building Division I Vicki Monge Bureau of Land 1 Brian Hopkins Management Carbondale Fire District I Bill Gavette Castle/Maroon Creek I Lynne Mace Caucus County Community I Rose Ann Sullivan Development County Clerk & Recorder I Jennifer Doss Crystal River Caucus I John Baker County Engineering I Bud Eylar County Environmental I Carla Block Health Frying Pan Valley 1 Fred Smith Caucus County Road & Bridge I Temple Glassier Owl Creek Caucus I George Shifrin Public Safety Council - I Ellen Anderson County Emergency Mgt County Risk 1 Kris Jewkes Management County Sheriff I Tom Grady Snowmass/Capitol I Michael Kinsley Creek Caucus SnowmasslWildcat Fire 1 John Mele District U.S. Forest Service Woody Creek Caucus I Michael Owsley I PHONE 1920-5384, ext. 850 I 925-2690/925-5532 \920-5400/920-5404 \ 920-5082 1927 -3365/927 -3936 I 920-5526/920-5450 1947-2840/947-2829 I 963-2491 \925-7345 1920-5482/920-5526 I 920-5180 I 963-2846 I 920-5206 1920-5070/920-5438 I I 920-5211/920-5397 I 923-5527 \920-5234 1920-6017 I 920-5300 \927-3851 1923-2212 925-3445 (Aspen District) 963-2266 (Sopris District) I 923-2863 !FAX \920-5378 I 920-4451 \920-5409 \920-5119 \ I 920-5439 I I I \920-5439 I 920-5196 I I 920-5374 1920-5077 I I 920-5374 I I \920-5049 I 920-5251 1 I Contact Janis Taylor at County Community Development (920-5109) to obtain contact names and phone numbers for Homeowners' Associations. 7 -06-04 ~TTACHMENT C Comment [AGel]: ..I, . APPLICABLE CODES & REGULATIONS; CONTACTS I MATTER I Bleachers I Electricity, Temporary I Fireworks - ...... I Food Service I Liquor Licen-se Noise Limits I Road Closures I Sanitary Facilities: Toilets and Hand- Washing Stations 'Temporary Commercial Use/Special Event Permit I Tempo""yConlractoc'; Uceo" Tents or Temporary Structures I CONTACT I j 'j County Community I Development - BuildinQ Division , County Community Development - Buildin Division Fire District, Sheriff Temporary and Occasional Food I County I Service Establishment Requirements, 'Environmental Colorado Food Service License Health State of Colorado Special Event..Liquor I C. ounty Clerk j License Permit I' Title VII of the Pitkin County Code -/ ' County . I (BOCC Ordinance #99-38) Environmental Health I' Colorado Department of Health " County I Standards and Regulations for Group Environmental Gathering Areas Health I' Pitkin County Road Management & I' County Engineer j Maintenance Plan I' Colorado Department of Health I' County I Standards and Regulations for Group Environmental GatherinQ Areas Health , Land Use Code Subsection 3-200-030 ,. County Community J Development County Community Development - Buildin Division County Community Development - Building Division; Fire District I APPLICABLE CODES & REGULATIONS , ICC/ANSI 300 , National Electrical Code (current edition) Refuse Disposal International Building Code, 2003 International Fire Code 7-06-04 - 'ATTACHMENT 0 Complete if liquor will be served at your event. A State of Colorado Special Event Liquor License Permit (if required) must be applied for with the County Clerk's Office. This permit process takes 30 days and is ONLY issued to incorporated, non-profit organizations. Proof of Liquor Liability insurance, with a $1,000,000 limit, must be provided. Please indicate Yes/No to the following questions if liquor is to be served at the event. Will there be: YES NO a. Non-transferable Legal Age Identification bracelets? b. TIPS (server) training for bartenders and caterers? c. A designated "Family Friendly" seating area? d. Inclusion of Tipsy Taxi in the planning of event? e. Provision of alternatives to alcohol; free non-alcoholic drinks for designated drivers? f. Free water and ice available? g. Cessation of alcohol service at predetermined point prior to the end of the event? What time? h. Food available at all times? i. Training of security staff and volunteers on friendly intervention? j. Prohibition of use of alcohol or drugs by staff and volunteers while on duty? k. A designated smoking area? \. A designated medical detox area on-site? m. Other: 7-06-04 l~::~nt [AGC2]: ..It . Castorri & Company - Additional information for Jeep Liberty filming PITKIN COUNTY Dates: Shoot July 23, 24, 25/Weather Day July 26 Location: T Lazy 7 Ranch Safetv & Ooerations Plan:. 1. We are shooting vistas and roads, nothing out of the ordinary. We will have a precision driver, but there are no stunts. 2. A & B. Mary Beth Castorri is our producer. 248-761-1000. C. Until we see location pictures, we do not know exactly where on the T Lazy 7 Ranch that we are shooting. D. Same as C 3. Not applicable 4. Not applicable E. Not applicable F. We will not be shooting in inclement weather, our weather day will be the next day. · · · 1 ......J .. :-:-: . .. .... 16 07 12:02p Landon Deane 970 925 5616 p. 1 ~~ .~.:: ',/"./\ t,~ I. ~!I~_~~~ "N C. H Mike Kraemer Planner, Community Development Department Pitkin County 130 S. Galena Street Aspen, CO 8161] 7/11107 To Whom It May Concem: This is to authorize Castorri and Company to produce commercials for the Internet for their client Jeep_ They will be shooting one vehicle at the T Lazy 7 Ranch the week of July 23rd. There will be a crew size of thirty to thirty-five people per day. Some of the crew will be housed at the Inn at Aspen. Should you need to contact them, please do so at the following address: Castorri and Company, Inc. 306 S. Wa"hington, Stc 226 Royal Oak, MJ 48067 248-541-0900 office Thank you and please call with any questions. Sincerely, ,/J" '. . ' ,..-...., .,.~ f'i ulCJ ,,\.\,,1 r, (} . . iJ' ,,'v' , .' ,..v If \"\._A-. )L'\; l~_ Landon Deane for Rick Deane 970-925-4614 3129 Maroon Creek Rd. · Aspen, CO 8161] .970/925-4614. Fax 970/925-5616 170 105 120 195 115 150 110 130 152 158 155 165 PZ005 185 IS 161 B1202 B1203 EH025 Other NAME: It:.. i.'i' ~... .MUNITY DEVELOPMENT DEPAR.NT 130 South Galena Street Aspen. Colorado 81611 (970) 920-5526 Pitkin County Land Use: Board of Adjustment County Land Use Code Flat Fee Zoning and Sign Public Notice+ Planning Enforcement Healing Officer 172 159 174 162 169 160 175 ~, o u,~~ - .x Referral Fees: Airport County Clerk County Engineer Environmental Health Historic Housing Land Management Redstone HPC Wildlife Officer Building Fees: Board of Appeals Building Permit Electrical Permit Energy Code Review Mechanical Permit Plan Check Plumbing Permit Reinspection AVFD Fire Marshal BFD Fire Marshal Other Fees: Use Tax Copy Master Plan Copy Park Dedication GIS Requirements Housing Impact Fee Road Impact Fee School Impact Fee Air Quality Impact Fee 210 LUCOl 193 194 208 198 190 209 206 TOTAL , i i ADDRESS/PROJECT: " - j, PHONE: CHECK# CASE/PERMIT#; I i' /_ INITIAL: