1. The name, address, telephone number and fax number (if available) of the interested party filing the appeal;

2. The signature of the person authorized to file the appeal;

3. Identification of the permit denial being appealed;

4. A detailed statement of the legal or factual grounds for the appeal;

5. Copies of any relevant documents;

6. A clear and concise statement indicating the form of relief being requested;

7. Certification under oath that the appeal is made in good faith and that any supporting information is accurate and complete to the best of the person’s knowledge and belief; and

8. An appeal fee in the amount listed in the most current city of Bethel schedule of rates. Charges and fees shall be paid to the city and must be received by the deadline for filing the written appeal. This fee shall be refundable if the appellant prevails in the appeal to the city manager.