Independence, OR · Polk County
Agreement for Payment of Land Use Application Fees
This agreement sets out a developer’s responsibility to pay City processing costs beyond the base fee for a land use application submitted to the City of Independence.
- 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 covers additional costs for processing a land use application, including technical review, legal review, and public notice. The developer agrees to pay those costs monthly at the rates charged to the City. The form also describes remedies for unpaid costs and procedures for resolving disputes. The City requires the agreement as part of a subdivision application when the base fee may not cover all processing expenses.
Who needs it
A developer submitting a land use application for property in Independence who agrees to pay City processing costs beyond the base fee needs this agreement.
Why it needs a notary
This form includes two Oregon acknowledgment blocks; an authorized City representative and the Developer each sign their respective signature before a notary.
How to get this notarized
- 1
Download the Agreement
Download the subdivision agreement for payment of land use application fees.
- 2
Fill In the Details
Complete the application, property, developer, and statement information requested on the form.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary for both acknowledgment blocks.
- 4
Sign on Video
The authorized City representative and Developer each acknowledge their signature before the notary.
- 5
Submit to the City
Return the signed agreement to the City of Independence at the address shown 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 submit this fee payment agreement?
- Fill in the application, property, developer, and statement details, then have the City representative and Developer sign before a notary. Return the signed form to the City of Independence as directed.
- Do I need to sign this agreement before a notary?
- Yes. The form has separate acknowledgment blocks for the authorized City representative and the Developer, and each signer must acknowledge their signature before a notary.
- Can I use a commissioned online notary for this form?
- Oregon authorizes its notaries to perform remote notarizations under ORS 194.277, and ORS 194.260 recognizes qualifying notarial acts performed elsewhere. The Oregon Secretary of State FAQ confirms a properly notarized remote online document is valid in Oregon.
- Where do I return the signed agreement?
- The form says to return it to the City of Independence, PO Box 7, Independence, OR 97351. Confirm with the city or county clerk if unsure.