HomeMy WebLinkAbout20050189.tiff Weld County Planning Department
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MEMORANDUM RECEIVED
TO: Chris Gathman, Planner II DATE: April 13, 2004 PC FROM: Donald Carroll, Engineering Administrator ci-
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COLORADO SUBJECT: USR-1470, Jose Martinez
The Weld County Public Works Department has reviewed this proposal. This project falls
primarily under the Use by Special Review, Weld County Code, Chapter 23, Article II, Division
4, Section 23. Our comments and requirements are as follows:
COMMENTS:
WCR 1 north of State Highway 66 is designated on the Weld County Road Classification Plan
(FHU) as a collector status road, which requires an 80-foot right-of-way at full build out. There
is presently a 60-foot right-of-way. The road is maintained by Weld County.
REQUIREMENTS:
Access: The applicant identified access from WCR 1 through Recording #1514767, Book
1612, Page 283. There are two right-of-way easements identified, the east/west 66-foot right-
of-way and a 15-foot north/south right-of-way to access the parcel. The applicant shall provide
a copy of the recorded document for verification and to be placed in the file.
Both easements should have adequate gravel and should be graded and drained to provide an
all-weather access to the parcel.
Off-Street Parking: The off-street parking including the access from the easement should be
surfaced with gravel or the equivalent and should be graded to prevent drainage problems. The
applicant is identifyied truck parking at the facility adjacent to the west and south property lines.
Storm Water Drainage: The historical flow patterns and run-off amounts will be maintained on
site in such a manner that it will reasonably preserve the natural character of the area and
prevent property damage of the type generally attributed to run-off rate and velocity increases,
diversions, concentration and/or unplanned ponding of storm run-off.
pc: USR-1470
M:\PLANNING—DEVELOPMENT REVIEW\USR-Use by Special Review\USR-1470, Martinez.DOC
EXHIBIT
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2005-0189
Weld County Planning Department
GREELEY OFFICE
MAY 0 5 2004
MEMORANDU EC V D
WIIle TO: Chris Gathman, Planner II DATE: May 4, 2004 FROM: Donald Carroll, Engineering Administrator 74
COLORADO SUBJECT: USR-1470, Jose Martinez
The Weld County Public Works Department has reviewed this proposal. This project falls
primarily under the Use by Special Review, Weld County Code, Chapter 23, Article II, Division
4, Section 23. Our comments and requirements are as follows:
COMMENTS:
WCR 1 north of State Highway 66 is designated on the Weld County Road Classification Plan
(FHU) as a collector status road, which requires an 80-foot right-of-way at full build out. There
is presently a 60-foot right-of-way. The road is maintained by Weld County.
REQUIREMENTS:
Access: The applicant identified access from WCR 1 through Recording #1514767, Book
1612, Page 283. There are two right-of-way easements identified, the east/west 66-foot right-
of-way and a 15-foot north/south right-of-way to access the parcel. The applicant shall provide
a copy of the recorded document for verification and to be placed in the file.
Both easements should have adequate gravel and should be graded and drained to provide an
all-weather access to the parcel.
Off-Street Parking: The off-street parking including the access from the easement should be
surfaced with gravel or the equivalent and should be graded to prevent drainage problems. The
applicant is identifyied truck parking at the facility adjacent to the west and south property lines.
Storm Water Drainage: The historical flow patterns and run-off amounts will be maintained on
site in such a manner that it will reasonably preserve the natural character of the area and
prevent property damage of the type generally attributed to run-off rate and velocity increases,
diversions, concentration and/or unplanned ponding of storm run-off.
Dust Suppressant: The applicant shall apply dust suppressant chemical (magnesium or
calcium chloride) on both right-of-way easements no less than twice a year, as needed, or as
determined by the Public Works Department. Due to the increase of employee traffic, heavy
truck traffic, and equipment hauling utilizing this location
pc: USR-1470
M:\PLANNING-DEVELOPMENT REVIEW\USR-Use by Special Review\USR-1470, Martinez.DOC
MEMORANDUM
ti( til; TO: CHRIS GATHMAN, PLANNING SERVICES
FROM: CHARLOTTE DAVIS, ENVIRONMENTAL HEALTH tV
WC. DATE: 04/20/2004 CTJOSE MARTINEZ
COLORADO CC:
Environmental Health Services has reviewed this proposal for storage of vehicles and
equipment along with employee parking associated with a landscaping business. We
have no objections to the proposal, however, we do recommend that the following
conditions be part of any approval:
We recommend that the following requirements be met prior to allowing the plat to be
recorded:
1. The applicant shall submit a dust abatement plan, to address parking area and
dirt pile concerns, for review and approval, to the Environmental Health Services,
Weld County Department of Public Health & Environment.
2. The Environmental Health Services Division was unable to locate a septic permit
for the septic system serving the existing home. The septic system shall be
reviewed by a Colorado Registered Professional Engineer. The review shall
consist of observation of the system and a technical review describing the
systems ability to handle the proposed hydraulic load. The review shall be
submitted to the Environmental Health Services Division of the Weld County
Department of Public Health and Environment. In the event the system is found
to be inadequately sized or constructed the system shall be brought into
compliance with current Regulations.
3. The applicant shall submit a waste handling plan, for approval, to the
Environmental Health Services Division of the Weld County Department of Public
Health & Environment. The plan shall include at a minimum, the following:
1) A list of wastes which are expected to be generated on site (this should
include expected volumes and types of waste generated).
2) A list of the type and volume of chemicals expected to be stored on site.
3) The waste handler and facility where the waste will be disposed (including
the facility name, address, and phone number).
We recommend that the following requirements be incorporated into the permit as
development standards:
1. All liquid and solid wastes (as defined in the Solid Wastes Disposal Sites and
Facilities Act, 30-20-100.5, C.R.S., as amended) shall be stored and removed for
final disposal in a manner that protects against surface and groundwater
contamination.
2. No permanent disposal of wastes shall be permitted at this site. This is not
meant to include those wastes specifically excluded from the definition of a solid
waste in the Solid Wastes Disposal Sites and Facilities Act, 30-20-100.5, C.R.S.,
as amended.
3. Waste materials shall be handled, stored, and disposed in a manner that controls
fugitive dust, fugitive particulate emissions, blowing debris, and other potential
nuisance conditions.
4. The applicant shall operate in accordance with the approved "waste handling
plan".
r
5. Any vehicle washing area(s) shall capture all effluent and prevent discharges
from drum washing and the washing of vehicles in accordance with the Rules
and Regulations of the Water Quality Control Commission, and the
Environmental Protection Agency.
6. Fugitive dust and fugitive particulate emissions shall be controlled on this site.
The facility shall be operated in accordance with the approved dust abatement
plan at all times.
7. This facility shall adhere to the maximum permissible noise levels allowed in the
Residential Zone as delineated in 25-12-103 C.R.S., as amended.
8. Adequate handwashing and toilet facilities shall be provided for employees and
patrons of the facility.
9. Any septic system located on the property must comply with all provisions of the
Weld County Code, pertaining to Individual Sewage Disposal Systems.
10.The facility shall utilize the existing public water supply.(Long's Peak Water
District)
11.All potentially hazardous chemicals must be stored and handled in a safe manner
2
in accordance with product labeling and in a manner that minimizes the release
of hazardous air pollutants (HAP's) and volatile organic compounds (VOC's).
12.The operation shall comply with all applicable rules and regulations from the
Weld County Code, Air Pollution Control Division, Water Quality Control Division,
Colorado Department of Labor and Employment, and the Environmental
Protection Agency.
3
a DEPARTMENT OF BUILDING INSPECTION
Weld County Administrative Offices
1555 N. 17th Avenue, Greeley, CO
WEBSITE: www.co.weld.co.us
Phone (970) 353-6100, Ext. 3540
' Fax (970) 304-6498
Ci
COLORADO
April12, 2004
Site Specific Development Plan and Special Review Permit for a Use by Right or Accessory
Use in the Industrial Zone District (storage of vehicles and equipment for landscaping business)
in an Agricultural Zone District.
USR-1470
Jose Martinez
Pt of SW4 Section 19,T3N,R68W of the 6thP.M. , Weld County, Colorado
1The existing framed garage meets the required set backs consistent with S-3 occupancy
(storage and maintenance of motor vehicle ).
2 A plan review is required for any additional building. Plans shall bear the wet stamp of a
Colorado registered architect or engineer. Two complete sets of plans are required when
applying for each permit.
3 Buildings shall conform to the requirements of the various codes adopted at the time of permit
application. Currently the following has been adopted by Weld County: 2003 International
Residential Code, 2003 International Mechanical Code, 2003 International Plumbing Code,
2002 National Electrical Code and Chapter 29 of the Weld County Code.
4 Each building will require an engineered foundation based on a site-specific geotechnical
report or an open hole inspection performed by a Colorado registered engineer. Engineered
foundations shall be designed by a Colorado registered engineer.
5 Building height, setbacks and offset distance shall be determined by the Zoning Ordinance.
Separation of buildings of mixed occupancy classifications shall be in accordance with Sec.
R309.2 of the International Residential Code.
6 Building heights shall be measured in accordance with the 2003 International Building Code
for the purpose of determining the maximum building size and height for various uses and types
of construction and to determine compliance with the Bulk Requirements from Chapter 29 of the
Weld County Code. Building height shall be measured in accordance with Chapter 23 of the
Weld County Code in order to determine compliance with offset and setback requirements.
When measuring buildings to determine offset and setback requirements, buildings are
measured to the farthest projection from the building. Property lines shall be clearly identified
Sinter
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Plans Examiner
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' CountyReferral Weld
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111k.
March 22, 2004
COLORADO
The Weld County Department of Planning Services has received the following item for review: -
Applicant Jose Martinez Case Number USR-147O
Please Reply By April 28, 2004 Planner Chris Gathman
Project Site Specific Development Plan and Special Review Permit for a Use by Right or
Accessory Use in the Industrial Zone District (storage of vehicles and equipment
along with employee parking associated with a landscaping business) in the A
(Agricultural)Zone District
Legal Pt SW4 Section 19, T3N, R68W of the 6th P.M., Weld County, Colorado.
Location Approximately 600' east of CR 1 and approximately 1/2 mile north of Hwy 66.
Parcel Number 1207 19 000007
The application is submitted to you for review and recommendation. Any comments or recommendation you
consider relevant to this request would be appreciated. Please reply by the above listed date so that we may
give full consideration to your recommendation. Any response not received before or on this date may be
deemed to be a positive response to the Department of Planning Services. If you have any further questions
regarding the application, please call the Planner associated with the request. Please note that new
information may be added to applications under review during the review process. If you desire to
examine or obtain this additional information, please call the Department of Planning Services.
Weld County Planning Commission Hearing (if applicable) May 18, 2004
❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan
O We have reviewed the request and find no conflicts with our interests.
J4. See attached letter.
Comments: Q n ct t a0, iLA
Signature Date 5,31-1,A
n Agency Z.o fi(1� Lcmr lr'cn
❖Weld County Planning Dept. +1555 N. 17th Ave.Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax
MEMORANDUM
COLORADO
To: Chris Gathman, Planner `N' March 25, 2004
From: Bethany Salzman, Zoning Compliance Officer
Subject: USR-1470 Referral
Upon review of my computer and files, an active Zoning Violation was noted(VI-0300283). This violation was
initiated as a result of failure to obtain the necessary Zoning Permits prior to the operation of a commercial
landscaping business. This case has not been presented to the Board of County Commissioners through the
Violation Hearing process.
If the Use by Special Review (USR-1470) application is denied by the Board of County Commissioners, a
reasonable time frame will be established prior to the continuance of the violation process.
If the Use by Special Review(USR-1470)application is approved by the Board of County Commissioners,the
plat shall be completed and submitted for recording within 30 days from the date of approval.
cc: VI-0300283
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SERVICE,TEAMWORK,INTEGRITY,QUALITY
MEMORANDUM
WCTO: Chris Gathman, AICP, Planner II
COLORADO DATE: March 26, 2004
FROM: Kim Ogle, Planning Manager jt"•
SUBJECT: Use by Special Review, USR-1470
Landscape Referral
Jose Martinez, Applicants
The Department of Planning Services reviewed the above referenced Use by Special Review
documentation and drawings and offers the following comments:
The Use by Special Review Plat shall be prepared in accordance with Section 23-2-260.D of
the Weld County Code.
This application shall be in compliance with Section 23-3-250 A. and B and is address in the
following comments.
Section 23-3-250.A.1
Stormwater Management. All users of land shall provide and maintain stormwater retention
facilities designed to retain the stormwater runoff in excess of historic flow from the
r'` undeveloped site. The stormwater retention facility on a developed site shall be designed for a
one-hundred-year storm. The stormwater retention facility shall be designed and operated to
release the retained water at a quantity and rate not to exceed the quantity and rate of a five-
year storm falling on the undeveloped site. The application materials state that the storm water
issue is not applicable and there was no supporting documentation stating how stormwater is
addressed or presently handled. The applicant shall contact the Weld County Department of
Public Works to durther discuss this issue.
Section 23-3-250.A.2
Parking. Sufficient screened, off-street, paved parking areas shall be provided to meet the
requirements of employees, company vehicles, visitors and customers of the Uses Allowed by
Right and Accessory Uses. Appendix 23-A describes the design requirements for parking
spaces and Appendix 23-B delineates the number of parking spaces required by use for this
property.
The proposed facility has Office and Warehouse uses. The parking requirement for Office uses
are one space for every two employees plus one space per 500 SF. There is not a parking
area delineated on the drawings submitted. Given that the applicant's family is the sole
employees associated with this facility, no parking is required at this time. However, should the
number of employees change, additional information will be required and may include preparing
an amendment to the present Use by special Review, if approved.
Section 23-3-250.A.3
Street Access. Lots shall have safe access to an approved public or private street. The design
designation of any street or highway as to type shall be in conformance with that shown on the
county thoroughfare plan and/or the master plan of the affected municipality. The applicant
shall contact the Department of Public Works to verify any access requirements off of the
County Road.
Section 23-3-250.A.4
Required Yards - Setback
No use or accessory use may be located closer than twenty-five (25) feet to the existing or
proposed (whichever represents the greater right-of-way width) highway or street right-of-way.
Off-street parking areas may be permitted in the required setback area when the area is
screened from direct view of persons on the public rights-of-way. Fences over six (6) feet in
height are not required to comply with the minimum setback and may be located on the
property line. Fences located on corner lots abutting public right-of-way shall not obstruct the
view of vehicular traffic at an intersection. There was not a scaled elevational drawing of the
structure(s) included in the application materials, therefore, prior to the release of building
permits, the set back shall be verified given the existing proposed site conditions, specifically
addressing the elevated display areas. Written evidence of compliance shall be submitted to
the Department of Planning Services.
Section 23-3-250.A.4
Required Yards - Offset
No use or accessory use may be located closer than ten (10) feet to its lot line. Off-street
parking areas may be permitted in the required offset area when the area is screened from
adjacent lots zoned R-1, R-2, R-3, R-4 or R-5. Fences over six (6) feet in height are not
required to comply with the minimum OFFSET and may be located on the property line. The
plans submitted with the application materials have not delineated the offset. There was not an
elevational drawing of the structure included in the application materials, therefore, prior to the
release of building permits, the offset shall be verified.
Section 23-3-250.A.5.A
Required Landscaped Areas
'e—• No more than eighty-five percent (85%) of the total area of a lot shall be covered. Land shall
not be deemed covered if it is used for growing grass, shrubs, trees, plants or flowers or if
covered by decorative gravel or wood chips, or if it is otherwise suitably Landscaped. Given the
lack of water for irrigation on this property, staff requests that a ground cover be established to
limit erosionary processes, i.e., wind, water and snow pack melt.
Section 23-3-250.A.5.B
That portion of a lot which abuts a public or private street right-of-way shall be landscaped for a
distance of ten (10) feet, measured at a right angle from the lot line towards the interior of the
lot. Sidewalks and driveways may pass through the required landscaped areas. Given the lack
of water for irrigation on this property, staff requests that a ground cover be established to limit
erosionary processes, i.e., wind, water and snow pack melt. Additional information is required
prior to accepting the plat for recording.
Section 23-3-250.A.6
Areas used for trash collection shall be screened from public rights-of-way and all adjacent
properties. These areas shall be designed and used in a manner that will prevent wind- or
animal-scattered trash. The application materials do not identify the location of the dumpster
on the plat. Future submittals shall delineate the screened enclosure as outlined in this Section
of the Code.
Section 23-3-250.A.7
Water Supply. Uses shall have an adequate source of potable water. The application
materials state that water is provided by Long's Peak Water District for ordinary household
purposes inside a single family dwelling. There was no evidence of water submitted in the
referral materials. The applicant shall meet the requirements of the Weld County Department
of Public Health and Environment.
Section 23-3-250.A.8
Sewage Disposal. Uses shall have adequate sewage disposal facilities. The application
materials state that an existing ISDS system on site that will handle the effluent flow. The
application materials do not indicate if there are floor drains in the pole barn structure.
Additional information shall be provided concerning this issue. Further, the applicant shall meet
the requirements of the Weld County Department of Public Health and Environment.
Section 23-3-250.A.9
Outside Storage. Uses involving outdoor storage of vehicles, equipment or materials when
permitted shall be screened from public rights-of-way and all adjacent properties. There was no
information or supporting drawings submitted to indicate that a fence is located on the property.
The application materials further state there will be no outside storage once the facility is
operational. The applicant shall submit documentation as to how the outside storage will be
screened during the construction or upstart period.
Section 23-3-350.6.
Operation Standards. Uses shall demonstrate conformance with the following operation
standards to the extent that they are affected by location, layout and design prior to
construction and operation. Once operational, the operation of the Uses permitted shall
conform to these standards.
Section 23-3-350.B.1
Noise. Uses and structures shall be located, designed and operated in accordance with the
noise standards as established in Section 25-12-101 C.R.S. The applicant shall meet the
established standards set by the Weld County Department of Public Health and Environment.
Section 23-3-250.6-2
Air Quality. Uses shall be located, designed and operated in accordance with the air quality
standards established by the Colorado Air Pollution Control Commission. The applicant shall
meet the established standards set by the Weld County Department of Public Health and
Environment.
Section 23-2-250.6.3
Water Quality. Uses shall be located, designed and operated in accordance with the water
quality control standards established by the Colorado Water Quality Control Commission. If
applicable, the applicant shall provide additional information regarding the water tap if required
through the Weld County Department of Public Health and Environment referral.
Section 23-2-250.B.4
Radiation and Radioactive Materials. The handling, use, storage and processing of radioactive
materials shall be in accordance with the applicable regulations of the State and the United
States government The application materials do not indicate this is applicable, should this not
be the case, the applicant shall provide additional information to the Weld County Department
of Public Health and Environment.
Section 23-2-250.6.5
Heat. Uses shall not emit heat in such an amount sufficient to raise the temperature of the air
or of materials at or beyond the Lot line more than five (5) degrees Fahrenheit. The application
materials do not indicate this is applicable, should this not be the case, the applicant shall
provide additional information to the Weld County Department of Public Health and
Environment and the Department of Building Inspection. Further, the applicant shall obtain a
written approval from the Mountain View Fire Protection District stating that the facility is in
compliance with the Fire Code.
Section 23-2-250.B.6
Light. Any lighting, including light from high temperature processes such as welding or
combustion, shall be designed, located and operated in such as manner as to meet the
following standards: sources of light shall be shielded so that beams or rays of light will not
shine directly onto adjacent properties; neither the direct nor reflected light from any light
source may create a traffic hazard to operators of motor vehicles on public or private streets;
and no colored lights may be used which may be confused with or construed as traffic control
devices. The application materials did not include a Lighting Plan. Should exterior lighting be a
part of this facility, all light standards shall be delineated on the Site Plan Review Plat.
Section 23-2-250.B.7
Property Maintenance. Property shall be maintained in such a manner that grasses and weeds
are not permitted to grow taller than twelve (12) inches. In no event shall the property owners
allow the growth of noxious weeds. The application materials do not address property
maintenance. Future correspondence shall identify how the property will be in compliance with
this Section of the County Code.
Section 23-4-50.
Off Street Loading. The applicant shall delineate on the Site Plan Review plat the location of
the loading zone that is in compliance with Section of the Code. There shall be parking or
staging of trucks within the public right-of way. Further, the applicant shall meet all
requirements of the Department of Public works concerning access and circulation of vehicles
for this proposed facility.
Section 23-4-90
T Signs. The application materials do not address the issue of on-site signs, however, the
Landscape, Signage and Lighting Plan identifies sign locations on site Section 23-4-90
addresses signs located in the Agricultural Zone District. The applicant shall provide written
evidence that all proposed signs are in compliance with this section of the Code.
The applicant shall enter into an Improvements Agreement according to policy regarding
collateral for improvements and post adequate collateral for all transportation (access drive,
parking areas, etcetera) and non-transportation (plant materials, fencing, screening, etcetera).
The agreement and form of collateral shall be reviewed by County Staff and accepted by the
Board of County Commissioners prior to recording the Site Plan Review plat.
End Memorandum.
Landscape Referral/Commercial_USR1470.wpd
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MEMORANDUM
To: Chris Gathman
From: David Tuttle
Date: April 21, 2004
Subject: USR-1470
The sheriff's office has no concerns with this Special Use Permit. The sheriffs office
would however be willing to provide a program entitled Crime Prevention through
Environmental Design to the developer. This program reduces the likelihood of criminal
activity at a specific location by"hardening" it to crime.
The Sheriffs Office lacks the ability to absorb any additional service demand without the
�.. resources recommended in the multi-year plan provided to the Board of County
Commissioners or as indicated by growth not considered at the time the plan was
developed. I have no other comments on this proposal.
g,OUNI'°'" MOUNTAIN VIEW FIRE PROTECTION DISTRICT
Administrative Office:
9119 County Line Road• Longmont, CO 80501
`C c
303
( ) 772-0710• FAX (303) 651-7702
VIEW
April 12, 2004
Mr. Chris Gathman
Weld County Planning Department
1555 North 17`h Avenue
Greeley, CO 80631
Dear Mr. Gathman:
I have reviewed the submitted material pertaining to the Site Development Plan and Special
Review Permit for the parking of vehicles along with employee parking associated with a
landscaping business at 15002 Singletree Drive(Case Number: USA-1470). The Fire District has
no objections to the parking of vehicles but has the following comments regarding other uses at
the site:
• The shed/garage shall be used solely for the storage of equipment only. Water supply for fire
protection is not required for private garages, barns, storage buildings and accessory
buildings provided the building is not being used as living space and hazardous activity will
not be occurring within the structure (i.e. woodworking, vehicle repair garage, spray painting
with flammable/combustible liquids, etc.).
• There shall be no fueling operations conducted at the site unless previously approved by the
Fire District. If fuel operations are contemplated, plans for the installation of fuel tanks must
be submitted to the Fire District for review and approval prior to installation.
We appreciate being involved in the planning process. Should you have any questions, please
contact me at(303) 772-0710.
Sincerely,
LuAnn Penfold
Fire Marshal
LMP/lp
cc: project file
1O4.01.04
Station 1 Station 2 Station 3 Station 4 Station 5 Station 6 Station 7
9119 Cnty Line Rd. 10971 WCR 13 P.O.Box 575 P.O.Box 11 10911 Dobbin Run 50 Bonanza Dr. P.O.Box 40
Longmont,CO Longmont,CO 299 Palmer Ave. 8500 Niwot Road Lafayette,CO Erie,CO 100 So.Forest St.
80516 Damno.CO 80514
80501 80504 Mead,CO 80542 Niwot,CO 80544 80026
SENSE': C•M•LETETHIS SECTION C•M•LETETHIS SECTI.N •N •ELIVE'Y
. . • Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. O Agent
• ■ Print your name and address on the reverse ,. Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delive
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1. Article Addressed to: D. Is delivery address different from item 1? O Yes
if YES,enter delivery address below: O No
CITY OF DACONO
PO BOX 186
DACONO CO 80514 3. Service Type
❑Certified Mail O Express Mail
❑Registered O Return Receipt for Merchandise
❑Insured Mail O"C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label)• 7003 1010 0002 8989 1054
PS Form 381 1,August 2001 Domestic Return Receipt 102595-02-M-1540
SENDER:COMPLETE THIS SECTION C.M•LEtE THIS SECTI.N IN IEL1VE•Y
■ Complete items 1,2,and 3.Also complete A. Signat e ' sm,.
item 4 if Restricted Delivery is desired. ' ❑Agent
■ Print your name and address on the reverse X �. ' '_/ O Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. , ) . , ' "t h-C;,. ,
1. Article Addressed to: 0. Is delivery address�Ilfferept.rom.jtem 1? ..❑Yes
If YES,enter,delrti'ery-address below: 0 No
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TOWN OF FREDERICK i 1
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PO BOX 435 '1-
FREDERICK CO 80530 3. Service Type'..
O Certified Mail O Express Mail
O Registered O Return Receipt for Merchandise
O Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) O Yes
2. Article Number 7003 1010 0002 8989 10 61
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 4 ' 102595-o2-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• • Complete items 1,2, and 3.Also complete A. Si t• = 1 __
( item 4 if Restricted Delivery is desired. - ❑Agent
• Print your name and address on the reverse X # , Tv O Addressee
so that we can return the card to you. B. Received by( rinted Na - C. Date of Delivery
. • Attach this card to the back of the mailpiece, ti`ty '1� 3 r��
or on the front if space permits. t`D.
D. Is delivery address ifferent from item 1? 0 Yes
• 1. Article Addressed to: If YES,enter delivery address below: ❑ No
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Town of Firestone
PO Box 100
3. Service Type
,--. Firestone CO 80520 0 Certified Mail O Express Mail
❑ Registered O Return Receipt for Merchandise
•
❑ Insured Mail O C.O.D.
4. Restricted Delivery?(Extra Fool ❑ Yes
2. Article Number 7003 1010 0002 6969 1078
(Transfer from service label)
PS Form 3811;August 2001 Domestic Return Receipt 102595-02-M-1540
Hello