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L. Fee Deferral Schad ole If the p jec['s on-site air pollution reductions(mitigation measure)insufFiciently reduced air pollution es outlined in Rule 9510,an off-site fee is assessed based on the excess av pollution. The money collected from this£ee will be used by the District to reduce air pollution emissions bfR-site'on behelF oFtne project. An Applicant may request a deferral o£all or part of the bf£--site' fee up to,but not to exceed,the start date of construction. The start of construction is any of the following,whicfiever ocecurs first sten of grading,start of demolition,or any other site development activities not mentioned above. Q t mqu¢st a Fe¢DeP¢rral Schadulq and have enclosed[he Fee Deferral Schedul¢Application. The Fee Deferral Schedule Application,can ba f and on the Disb'icPs website a[www.vallevair.orn. M. Chan a of Pro'ect Oevelo er The Applicant assumes all responsibility£or ISR compliance for this project if the pr ject developer changes,the Applicant must notify tba Buyeq and both Hoyer entl Applicant nmst file a`Change ofProject Developer'form with the District. If[here is a change of project developer,end a`Change of Project DevelopeP form is not filed with the District,the Applicant will remain liable for ISR mpliance. The change of Project Developer form c n be found nn the District's w¢bsim at www.vallevair.or¢. N. Attachments A¢qulred: {f applicable: ®Tract Map or P jeer Design Map Q Latter From Applicant granting Agent authorization ®Vicinity Mep Q Fee Deferral Schedule Application ®Application Filing Pee �Monitoring 8c Reporting Schedule ' $841.00 for mixed use and non-residential projects OR �Supporting documentation for selected Mitigation Measures $562.00 for residential projects only O. Certiflcatlon Statement I certify that I have reviewed and completed the entire application antl hereby attest chat the inforn anon relayed within is true and act to the best of my knowledge. I commit to implementation of those on-site mitigation n easures that I have selected above. 1 responsible for notifying the District if I will be unable to implement these mitigation measures. If a committed mitigation measure s not implemented,the p jest may be re-assessed{r air quality impacts. (An authorized Agent may sign the form in lieu of the Applicant if an authorization letter signed by the Applicant is provided). Name(printed): S Westar Ramirez Title: Sr. Protect Desienar Signature: Date: 5/6/22 Central Ra91on OMce: t890 E.Gellyabur9 Ava.Fresno,CA 93926-0244 TEL(SSB)230-6000 FAX(559)230-6061 WER www valley Pa9a 4 of 12 R®sldan[lal/Non-Rasltlenllal/Mlxetl-Us¢Appllcallon Form Ravlsatl February 3,02022