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HomeMy WebLinkAbout20050213.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL EXHIBIT REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: $ RECEIPT#/AMOUNT# /$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number / Z O ) - 1 ) - q - 0 O - O 3 e) (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us). Legal Description C tiZ , Section /7, Township- 3 North, Range t West Flood Plain: A/0 Zone District: No , Total Acreage: 2 , Overlay District: No Geological Hazard: /(/0 , Airport Overlay District: No FEE OWNER(S) OF THE PROPERTY: Name: Roc e -4- 'al'ce_ V1aeiro� Work Phone# ) r' Home Phone#el7o->3s--v3 to Email Address Address: /879 we K. 3"L City/State/Zip Code /-i-0,.r, vt-, & vt1— C'0 jo ;oy Name: SS..tSca-v -4- /fie ✓ :•�. Vervte< irFLA Work Phone# Home Phone#er5a - 5-35--5/365- Email Address //Vein ote)n . Ck n/(<i , Address: /Ci 77 LO Cie_ - City/State/Zip Code / T7 a-a o`. -- Co 205-0 i 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: /1/;co if, -Piet Vail c,C) Work Phone# Home Phone# ei/o - '3 Y-y3&' Email Address /1/;,-/e-2/re v Pei 44. c ,n,. Address: / R 7' LJ( pt. •S Z. City/State/ZipCode h-Dia y,,,., -J- Co 7030/ PROPOSED USE: I VQ4 -;N . i Nc*)fJ,-/-0 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 that the signatory has to legal authority to sign for the corporation. 1 er e ,--P Sign t e: caner or thorized gent Date Signature: Owner or Authorized Agent Date %cn- b-cir g/ -!- Oil &ca ,2 /7€,Le- ^0- ?-/ - o y • 2005-0213 Site Specific Development Plan and Use By Special Review(USR)Questionnaire 1.The property will be used for a Veterinary Hospital,to provide medical and surgical care for companion animals(Defined as: dogs,cats, small exotics). 2.This proposal is consistent with an agricultural use. 3.The land at 1975 WCR 32 is currently zoned agricultural.This proposed business complies with this intent use for the land. 4.The land adjacent to the site is used for agricultural uses.This is both the growing of crops and a dairy is to the immediate north of the property.The proposed use for this land will not interfere with the current use of neighboring property and will provide a service for the surrounding residential property. 5.A.A single owner veterinary hospital will use the site. B.Between 2-10 employees will be employed at the site. C.Hours of operation: Monday,Thursday,Friday-7:30am-5:30pm Tuesday- I0:OOam-7:00pm Saturday-8:OOam-12:00pm Wednesday,Sunday-closed D.One building,no outside dog enclosures. E. Companion animals(dogs,cats,small exotics) F. Cars during regular business hours.Deliveries by trucks and semis weekly.Along with garbage disposal truck. G.Mountain View Fire District,until it is replaced. H. Little Thompson Water District. I. The property will be serviced by a septic tank system. J. None 6. See attached. 7.None 8. Storm water drainage will be handled in the same manor as the existing property,with a run off ditch located to the south of the property. 9. Construction and Landscaping should take 2-6 months. 10.A standard septic system will be used. FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION BUSINESS EMERGENCY INFORMATION: pp Business Name: h t b e t. An; m A t W 05r Ii Phone: Address: LJCFt 32 , City,ST,Zip: anymen+ co iPOSoy Business Owner: ALcolt. 72cwc`'rtt c/C- Phone: 97o-535 - f3Z0 Home Address: ig7rj curt 2_ City,ST,Zip: Xaw,e ahJ, Co X fol List three persons in the order to be called in the event of an emergency: NAME TITLE ADDRESS PHONE At col e /7 t t. '41. oc.)0 < .r in, zicii 5L jovyn t 970-5 3s-V3zo 54sO.v, Ile 'In o +1v.... MuSwcn ;L iCohyma+.-/- C )D -j 3S Y343- Business Hours:yo,frf7•3, . T/oa». -?p r.Days: ea/von' Type of Alarm: None Burglar Holdup ire Silent Audible Name and address of Alarm Company:`Location of Safe: ll 00-ftrr`5 o-RC i r-e - xxxx«xxxx:»xxx««»x»xx«««x«xxxxx«x««««xxxxxxx««ex»xxx«x«««»xxx««x«x««xxxx«««««x»xxx««««««xxxxx«««x«exxxxx««+x««+«xxxxx««xx«xxx MISCELLANEOUS INFORMATION: Number of entry/exit doors in this building: 3 Location(s): ant_ ) ma 4) a-f u Is alcohol stored in building? AM Location(s): Are drugs stored in building? yes Location(s): Co -kre-tk a. sv..ts-F.n-e.-r 7r 5^h..• - e -1e /a6 Are weapons stored in building? Ain 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: 9aa dt•ni Noi- tw; 14 1 et— Main Electrical: Gas Shut Off: Exterior Water Shutoff: Interior Water Shutoff: -11- Hello