Village at Fanno Creek ViLLfyG J 7 F /V/VD W
i
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for SO4/4. S AP i2 -EV/ CD/YIPL
Tax Map ZS I ZDD Lot Number(s) TOO Building Permit # .QUP93 - 015
Site Address /3500 SW h /,FLU,) Subdivision Al /4
Case File # sbe9Z -ooze) TIF Land Use District a /2 AQ',4
To Be Billed To: 4GL4N SOt APES
Address: /35SG 7ttl/N GiPEii5 Z. Ai IA-.t4 DSPJE61 9'7035 Phone #: 6de/ 960/
To the City of Tigard:
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No. 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and '
arterials of Washington County, I /we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND
SEVERALLY, to pay my /our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 20 semi - annual installments of the amount financed together with one -half of one year's
interest thereon at an annual percentage rate of Z on the unpaid balance. The lien date is the first day
of the month following the date the application is signed. The first payment is due six months thereafter
and at six (6) month intervals thereafter for a period of /0 years. Each installment payment will include
principal and interest.
If I \we neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the same shall have become due and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner provided by law
including foreclosure on the above - described real property
The traffic impact fee, annual percentage rate of interest ( / %) and finance charges which I /we agree
to pay are as follows:
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee $ 4't, //2.0 3, 762-DO
2) Amount Financed $ S/6, //2 OA 3, 74
3) Equal Semi - Annual Principal Payments $ ) 3o6 - : /4)
4) Interest on Balance at Rate of 7.1 %
l\We understand that the amount owed, as stated above, shall be a lien on the above - described subject
property pursuant to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230.
DATED this 3 e) day of v 6c I , 19 q 2
Signature of Property Owner(s) Signature o roperty Owner(s)
STATE OF OREGON ) Name (Please Print): ,411,,,k, .So (are s
Address: / 3 S" sti 7 -.-, .,, c_rL &c /cs 1 - 4
County of Washington ) / 02 '9 703.T
•
SUBSCRIBED AND SWORN TO BEFORE me this day of J , 19 l3 .
.,t 11 m",; „i .„ • p•IP K 1
Y • Notary Public for Oregon
My Commission Expires. l (Z -�
'ogin \viola \tif � o -
.. :.7r'$ cif > ° • ,.cn''�16, 42002
440
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