Fillmore, CA · Ventura County
Discretionary Project Reimbursement Agreement
Property owners or corporate principals use this agreement to request city processing of a permit and accept responsibility for related project costs.
What this form is
This agreement accompanies a request for the City of Fillmore to process a listed permit or other project. It records the project number, initial deposit, and the property owner’s or corporate principal’s contact details and signature. The signer agrees to pay processing costs, including applicable supplemental deposits and other specified project expenses, even if the application is withdrawn or not approved.
Who needs it
A property owner or corporate principal requesting City of Fillmore processing for one of the listed permits or another project needs this agreement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it contains no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the City of Fillmore Discretionary Project Reimbursement Agreement PDF.
- 2
Complete The Project Details
Check the applicable project type and enter the project number, name, initial deposit, and requested owner or corporate principal details.
- 3
Gather Any Required Attachment
If the property owner is a corporation, attach a list of the names and titles of corporate officers authorized to act for it.
- 4
Sign And Date
The property owner or corporate principal signs and dates the agreement.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Discretionary Project Reimbursement Agreement for?
- It accompanies a request for the City of Fillmore to process a listed permit or other project and records the signer’s agreement to pay related processing costs.
- Who completes the agreement?
- The form asks for the name and signature of the property owner or corporate principal, along with contact information, mailing address, and project details.
- Do I need a notary for the Reimbursement Agreement?
- No. This document is signed without a notary and has no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Reimbursement Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Discretionary Project Reimbursement Agreement doesn’t need a notary — but if you have another Fillmore form that does, a commissioned online notary can help.