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• Case#: USR11-0002
Name: Robert Devoe
Proposed Project: USR for on-site storage/
staging of work vehicles, trailers, equipment and
supplies for oil and gas in the Ag Zone District.
Location: North of and adjacent to CR 46; East
of and adjacent to CR 56. I 66 20 Weld County Planning Services
Planner: Chris Gathman _ 1555 N 17th Ave
Greeley CO 80631
/ WELL N T Y (970)353-6100 ext. 3540
_y!
SR46
•
Case#: USR11-0002
Name: Robert Devoe
Proposed Project: USR for on-site storage/
staging of work vehicles,trailers, equipment and
supplies for oil and gas in the Ag Zone District.
Location: North of and adjacent to CR 46; East
of and adjacent to CR 56. R 6 _z o Weld County Planning Services
Planner: Chris Gathman 1555 N 17th Ave
Greeley CO 80631
_ WEL it 4 O NTY r (970)353-6100 ext. 3540
4046 �..
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• AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Property Legal Description: PT SW4 9-4-64 LOT A REC EXEMPT RE-2542 (.67R)
Parcel Number 1 0 5 3 . 0 9 . 0 _ 0 0 0 3 8
(12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us)
(Include all lots being included in the application area,if additional space is required,attach an additional sheet)
THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a
true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by
the Weld County Assessor of the owners' of property (the surface estate) within five hundred (500) feet of the
property being considered. This list was compiled from the records of the Weld County Assessor, or a person
qualified to do the task, and shall be current as of a d no more than thirty (30) days prior to the date the
application is submitted to the Department of Plannin ervi . //
By: Z tw 4.4 GZ-�
• Title:
The foregoing instrument was subscribed and sworn to me this f 'r/ day of ‘,...1O.111.4). :ZOO
WITNESS my hand and official seal.
`,.NNu /4.
My Commission Expires: 41-7(h-1015
` . P V�tE sFc)art
s
/W N :
•
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Notary Public ZN1k
,,'late J4,�P .+
•
AFFIDAVIT OF INTERESTED LAND OWNERS Page 1 of 2
• AFFIDAVIT OF INTERESTED LAND OWNERS
SURFACE ESTATE
Subject Parcel: 105309000038
THE UNDERSIGNED, states that to the best of his or her knowledge the attached list is a true and
accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by
the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the
property being considered. This list was compiled utilizing the records of the Weld County Assessor
available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been
modified from the original. The list compiled from the records of the Weld ty Assessor was
assembled within thirty days of the application's submission date.
Si nat re
1/1/2 C
Date
Property Owners Within 500 ft. of Parcel# 105309000038
NAME MAILING ADDRESS PARCEL IDENTIFICATION
• DAVISSON DELMER L 17810 BLACK FOREST RD
Additional Owners: COLORADO SPRINGS,CO 105316000043
DAVISSON IRIS ANN 80908
GRUBER DAVID K 6002 COUNTY RD 24
105317000017
Additional Owners: WALDEN,CO 80480
GRUBER MARCY L
JOHNSON-ALTER REGINIA 26655 CR 46
LYNN 105309000041
KERSEY,CO 80644
5333 UTE CIRCLE
JOLO FARM LLC 105308400006
GREELEY,CO 80634
KEMPEMA LLOYD D 22201 CR 53
Additional Owners: 105308000025
KEMPEMA MARCINE H KERSEY,CO 80644
LEY JAROD E 22150 CR 53
Additional Owners: 105309000030
LEY NICOLE K KERSEY,CO 80644
C/O CONQUEST OIL
• MARCUM MIDSTREAM 8207 W 20 ST SUITE B 105308000033
GREELEY,CO 80634
http://maps2.merrick.com/website/weld/setsgl.asp 6/8/2011
` ' AFFIDAVIT OF INTERESTED LAND OWNERS Page 2 of 2
MOELLER ARTHUR RONALD 21944 CR 53
• Additional Owners: 105316000042
KERSEY,CO 80644-9012
MOELLER JUDY JO
WELNETZ KELLY SUE LOLOFF
PO BOX 239
Additional Owners: 105316000025
SCHRADER STACEY LEE KERSEY,CO 80644
SCHRADER SCOTT ALAN
•
•
http://maps2.merrick.com/website/weld/setsgl.asp 6/8/2011
• CERTIFICATION
RE: NOTIFICATION OF MINERAL INTEREST OWNERS AND LESSEES
The undersigned Applicant certifies compliance with the provisions of C.R.S. § 24-65.5-
103(1), and in support thereof,states and certifies as follows:
1. That Applicant has provided notice, (a copy of which is attached hereto as
Exhibit"A"), containing the time and place of the initial public hearing on its application
for Case Number US R 11-OOZ. , the nature of the initial public hearing, the legal
description by section, township and range of the property which is the subject of the
initial public hearing, and the name of the applicant;
2. That said notice was provided thirty (30) days prior to the scheduled
public hearing, that it was provided by certified mail, return receipt requested, or by a
nationally recognized overnight courier,
3. That said Exhibit A includes the list of the names and addresses of the
surface owners,mineral estate owners and lessees of mineral interests to whom the notice
was sent,including those persons who have requested receipt of such notices,pursuant to
C.R.S. §24-65.5-103(3).
APPLICANT:
• , /"/a I C!>°z
STATE OF 0.01(9ra_dio
COUNTY OF j )e1L(
Subscribed and sworn to before me this I,3 d y of%);Ip('yp/► h r, 20k, by
QM Sate inalpa. .
Publicconvaissii o+r,elm,s
Note: This Certification must be received by the Weld County Department of Planning
Services prior to or at the initial public hearing. If the Certification is not received by that
time, the hearing will be rescheduled to a later date, and Applicant must re-notify all
owners of mineral interests.
•
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