Independence, OR · Polk County
Agreement for Payment of Land Use Application Fees
This agreement sets payment terms for additional City costs incurred while processing a land use application, and is signed by the developer and an authorized City representative.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The agreement applies when a developer submits a land use application to the City of Independence and pays the base fee. It requires the developer to pay additional City costs for application processing, including technical review, legal review, and public notice, on a monthly basis. The agreement also describes remedies for unpaid costs, dispute resolution by binding arbitration, and attorney fees and costs.
Who needs it
A developer submitting a land use application to the City of Independence who agrees to pay processing costs beyond the base fee needs this agreement.
Why it needs a notary
The form has acknowledgment blocks for an authorized City of Independence representative and the developer; each signer must acknowledge their signature before a notary.
How to get this notarized
- 1
Download the Agreement
Get the Agreement for Payment of Land Use Application Fees from the City of Independence.
- 2
Fill In the Details
Enter the developer, land use application, property, and statement recipient details requested on the form.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary for the developer and authorized City representative.
- 4
Sign on Video
Each signer acknowledges their signature during the online notarization appointment.
- 5
Submit to the City
Return the completed agreement to the City of Independence at the mailing address printed on the form.
Preview the form
The blank PDF straight from Independence. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete and notarize this fee agreement?
- Fill in the application and property details, then have the developer and authorized City representative sign and acknowledge their signatures before a notary. Submit the completed agreement to the City.
- Do I need to notarize both signatures?
- The form includes separate acknowledgment blocks for an authorized City representative and the developer. Each signer should acknowledge their signature before a notary.
- Can I use a commissioned online notary?
- Oregon law allows remote notarization by Oregon notaries under ORS 194.277, and ORS 194.260 recognizes qualifying out-of-state notarial acts. The Oregon Secretary of State FAQ confirms a properly notarized out-of-state online notarization is valid in Oregon.
- Where do I send the completed agreement?
- The form says to return the signed agreement to the City of Independence, PO Box 7, Independence, OR 97351. Confirm with the city or county clerk if unsure.