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Home My WebLink About20093409.tiffSITE SPEC. DEVELOPMENT PLAN AND U•BY SPECIAL REVIEW (USR) APPLICATION • FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # /$ CASE # ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number / 3j b' -q -'-/-O02 •-3 - f✓ 0 (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.coweld.co.us) Legal Description L (, 8 I 3 Li foe I i nc Section _, Township _ North, Range West Flood Plain: NI D Zone District: Total Acreage: I Overlay District: Geological Hazard: , Airport Overlay District: FEE OWNER(S) OF THE PROPERTY: Name: N e \•A*er \-U V --e- «7 Work Phone # Home Phone # 3cr5-€51-834q Email Address: L SLa.4? \-\Icy .nc AJ Address: fl.oPc,X City/State/Zip Code lrtic-\- \ ,,__ t>Y- ) ( r- mil•?loa-1 Name —e c -e So` �P c -e z Work Phone # Home Phone # t3S 7-(334lEmail Address:‘SLe C Rv-e Address:`? U en-. ct City/State/Zip Code Ce-,r-t- 1 _ acv , C C &LC° al Name: •Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code PROPOSED USE: c -)r pax 1C1Nr,cy Ol�r b.�� ri¢55 eRtc.l-t I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating /Jthat the signatory has to legal authority to sign for the corporation. " t'teIi'he-t'�o rein-- 9/,loq r� • Signature: Owner or Authorized Agent Date Signature: Owner or Authoriz gent 2009-3409 1� Date -B- EXHIBIT 2 i w 2 wad \ u- \ e p ro (J -ex �( -Co r ( x �L. c bus; n -e sS V-e.k; c1 -e s . 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YIP Location(s): Are drugs stored in building? jr‘C> Location(s): Are weapons stored in building? n CU Location(s): The following programs are offered as a public service of the Weld County Sheriff's Office. Please indicate the programs of interest. Physical Security Check Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: Main Electrical: Gas Shut Off: Exterior Water Shutoff: Interior Water Shutoff: -12- Identify Results a Page 1 of 2 • Account#: R8444900 • • WELD COUNTY ASSESSOR PROPERTY PROFILE Parcel#: 130927403008 Tax Area: 2241 Acres: 0.99 Township Range Section Quart. Sec. 02-66-27-4 Bordering County: Subdivison Name Block# Lot# ARISTOCRAT RANCHETTES 2ND FG - 34 - 6 Owners Name & Address: PEREZ HELIBERTO & C/O TERESA RAMIREZ PO BOX 92 FORT LUPTON, CO 80621 Additional Owners: RAMIREZ TERESA Business/Complex: Me Date 11/30/1999 Property Address: Street: 15643 HIGGINS AV WELD City: WELD Sale Price $45,000 Sales Summary Deed Type WD Reception # 2736480 Legal Description 2AR L6 BLK34 2ND ARISTOCRAT RANCHETTES SITUS: 15643 HIGGINS AV WELD 806210000 Land Type Residential Land Subtotal: Abst Code 1112 Land Valuation Summary Unit of Number of Measure Units Site Actual Value Assessed Value $35,000 $2,790 Buildings Valuation Summary Bldg# 1 Property Type Residential Improvements Subtotal: Actual Value Assessed Value $62,705 $4,990 Total Property Value $97,705 $7,780 Building Details Account#: R8444900 Parcel#: 130927403008 Owners Name & Address: PEREZ HELIBERTO & C/O TERESA RAMIREZ PO BOX 92 FORT LUPTON, CO 80621 Building# 1 Property Address: Street: 15643 HIGGINS AV WELD City: WELD Property Type Residential httn://mans2.merrick.com/Website/W eld/setSa l.aso?cmd=OUERY&DET=PP&oin=1309... 08/31/2009 Identify Results Page 2 of 2 Built As: Exterior: Interior Finish: # of Baths: # of Bdrms: # of Stories: Rooms: Garage: Attached SQ Ft: Basement: Total SQ Ft: Modular Frame Hardboard Drywall 2 3 1 7 Individual Built As Detail Year Built: HVAC: Built As SQ Ft: Roof Type: Roof Cover: 1999 Forced Air 1568 Gable Composition Shingle Units: 0 Detached SQ Ft: Finished SQ Ft: http://maps2.merriek. com/Website/Weld/setSq 1.asp?cmd=QUERY&DET=PP&pin=1309... 08/31/2009 Hello