Phoenix

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Assumed Risk Affidavit

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Project Name *

Project Address *

Project Description (Including building age and square footage) *

Owner’s Name *

Mailing Address *

City *

State *

Zip Code *

Phone *

Office Number *

Fax Number *

Tenant Name *

Mailing Address *

City *

State *

Zip Code *

Phone *

Office Number *

Fax Number *

I attest that I was informed by city staff that proceeding concurrently with zoning action(s), site, civil and/or building plan review could adversely impact this Adaptive Reuse project. Proceeding in this manner could lead to non-refundable and ultimately unnecessary fee payments. The zoning action(s), stipulation(s) and/or appeal(s), could cause time delays and/or redesign of the project. These processes could also negatively impact plan review timeframes and result in additional fees. Please note that this process is not available for projects seeking a rezoning of the property.

I have discussed the risks of seeking zoning action(s) while simultaneously proceeding with site, civil and/or building plan review with city staff and relevant parties involved with this project, i.e. owners/tenant, lenders, design professionals and contractors. I am aware that permits will not be issued until all outstanding zoning action(s) are completed even if all construction plans have been approved. Understanding the risks involved, I choose to proceed with these concurrent processes.

Created by AIPSS

Phoenix

Assumed Risk Affidavit

Project details

Owner Information

Tenant Information

Project Risk Acknowledgment