Acknowledgment and Agreement to Pay Impact Fees

Town of Bow, New Hampshire Impact Fee Ordinance
As Adopted on March 13, 2001 and from time to time amended.

The undersigned property owner or authorized representative has applied for a building permit for new development on:

Block# ___________ Lot (s) ______________
Located at _______________________________

The new development consists of residences as described below which are subject to an impact fee or fees., Sq Ft fee not to exceed $13,000.00 as shown in the total impact fee due Below:

For Single Family Homes the impact fee is calculated bases on the total square footage of living area (Heated area with at least 6' headroom).

_______________ Sq.Ft. X $4.60 per square foot = _____________________

For all other residential development (e.g. townhouses, duplexes, multi-family, and manufactured houses), the impact fee is based on the number of bedrooms as indicated below:

Additional Impact Fee Due$___________ Description _________________________

Fee Per Sq Ft due $ __________________

Exaction Fee $ _______________

I acknowledge that as a condition of the building permit, the total impact fee due above must be paid prior to final inspection, issuance of a certificate of occupancy, or occupancy of the dwelling or dwellings. I agree that I will not occupy and that I will not permit occupancy of the dwelling or dwellings on the above described property prior to issuance of the Certificate of Occupancy. I further agree to notify the Building Inspector of any changes in living area (including but not limited to finished basement, finished bonus space over the garage, etc).