Impact Fee Application Form

* Indicates a Required Field *
If you have any questions please contact the
business office at 435-654-1581. Thank You

Please Complete this Impact Fee Form.

Impact Fee Information:

** IMPACT FEE INVOICES MUST BE PAID WITHIN 5 BUSINESS DAYS TO AVOID A LATE FEE **
 

Service Address:

 

Mailing Address:

 

Service Size Information:

 
 
 

Amount Due: