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Home My WebLink About20040939.tiff • SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT#/AMOUNT# 1$ _ CASE #ASSIGNED: APPLICATION RECEIVED BY _ PLANNER ASSIGNED: Parcel Number I .IlAllzll�l _ ldl/ l _ ❑d _t „ttrt _I „IlzllI (12 digit number-found l on Tax TJJaxIIIIll information,obtainable JJ at the Weld County Assessor's Jl 0ffice,or www.co weld.co.us). Legal Description 51" I/•5/ , Section ,Township 2 North, Rang4&West Flood Plain: ^//,¢ Zone District: /74z¢.e,_, Total Acreage: / , Overlay District: /r///r1 Geological Hazard: N/A FEE OWNER(S)OF THE PROPERTY: Name: #274e4 4.7/✓ ,4e 7245 /Q2 Yozzr,v Work P one it __ ssSf7Home Phone# - Email Address AAA/cy, /oZ4. Address: nen A1/407 nr-As-vet 4if City/State/Zip Code $4t7 Aar /44 ALlO3-Z Name: / : �._ 71,1 �..� -. T . -11; 1 , l _ ;:.,. • Work Phone# Home Phone# Email Address ,a pt4:.:. .-, Address: City/State/Zip Code Name: Work Phone# Home Phone# Email Address Address: City/State/Zip Code . APPLICANT/ OR AUTHORIZED AGENT (See Below:Authorization must accompany applications signed by Authorized Agent) Name: LD/r6NA+ Or/L7 /��.6-EGLCrwo'' 2/X£G7CC / Work Phone 94O-SSQDFfome Phone# — Email Address L. 7,2B/vA.ic. .re2.§tAity.ae_4. Address: 72/>/ 42, 2- y*" ..4t/A* City/State/Zip Code_/...6,7,9e..7-7 r, /120 8Vac� PROPOSED USE: ya / LSED .*s .G /4e rAz .a sld&NC? .stags/NT // l.✓!'t - SE/ YOu 7-";45*. r!le p Ll z.s=.2. ail. fe as k.C$O .as ,e2N DN -s,ra ,(if/OoL 742 /9trann2pd�4.- lc-,t9 A e74Dc.N7s, 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. g}- 4—•LJL— -7nf ne% Signature: Owner or uthorized Age Date Signature: Owner or Authorized A.ent Date EXHIBIT 7-- 2004-0939 'a G - • 11 0 11 . Alternative Homes-for Youth Strength Based Continuum of Services for Youth&Families • • MAIN OFFICE CORPORATE RESOLUTION P 9201 W 44th Avenue • Wheat Ridge,CO 80033 , • 303-940-5540 1,the undersigned President of the Board of ALTERNATIVE HOMES FOR YOUTH,A COLORADO NOT FOR PROFIT • Fax 303-940-5542 CORPORATION(the"Corporation"),HEREBY CERTIFY that the Corporation is organized and existing,under and by virtue of the laws of the State of Colorado as a corporation not for profit,with its principal office at 9201 West 44"Avenue,Wheat Ridge,CO ahfy@ahfy.org 80033,and is duly authorized to transact business in the State of Colorado. www.ahfy.org - 1 FURTHER CERTIFY that at a meeting of the Directors of the Corporation,duly called and held on June 24,2003 at which a quorum ADOLESCENT TREATMENT was present and voting;or by other duly authorized corporate action in lieu of a meeting,the following resolutions were adopted: CENTER BE IT RESOLVED,that the following named employee of this organization,whose actual signature isshown below: • Longmont,CO 303-776-2983 NAME - POSITION - A UAL SIGNATURE . Fax 303-776-0150 - �7 LORENA J.FORT EXECUTIVE DIRECTOR l" f7_ -7'Cl. CITY PARK Denver,CO Acting for and on behalf of the Corporation and as its act and deed be,and she hereby is authorized and empowered: 303-329-0923 Fax 303-320-3635 Borrow Money. To borrow from time to time from any bank("Lender"),on such terms as may be agreed upon between the Corporation and Lender,such sum or sums of money as in their judgment should be borrowed, EIGHTH AVENUE without limitation. Golden,CO ' Execute Notes. To execute and deliver to Lender the promissory note or notes,or other evidence of credit 303-233-1418 accommodations of the Corporation,on Lender's forms,at such rates of interest and on such terms as may be agreed upon, Fax 303-233-2688 evidencing the sums of money so borrowed or any indebtedness of the Corporation to Lender,and also to execute and . deliver to Lender one or more renewals,extensions,modifications,refinancing;consolidations,or substitutions for one or EMANCIPATION more of the notes and portion of the notes,or any other evidence of credit accommodations. Golden,CO • - Grant Security. To mortgage,pledge,transfer,endorse,hypothecate,or otherwise encumber and deliver to Lender,as • 303-278-1213 security for the payment of any loans or credit accommodations so obtained,any promissory notes so executed(including Fax 303-215-1377 any amendments to or modifications,renewals,and extensions of such promissory notes),or any other or further indebtedness of the Corporation to Lender at any time owing,however the same may be evidenced,any property now or • GREELEY YOUTH hereafter belonging to the Corporation or in which the Corporation now or hereafter may nave an interest,including CENTER without limitation all real property and all personal property(tangible or intangible)of the Corporation. Such property Greeley,CO may be mortgaged,pledged,transferred,endorsed,hypothecated,or encumbered at the time such loans are obtained or such indebtedness is incurred,or at any other time or times,and may be either in addition to or in lieu of any property 970-353-6010 theretofore mortgaged,pledged,transferred,endorsed,hypothecated,or encumbered. Fax 970-353-5636 Execute Security documents. To execute and deliver to Lender the forms of mortgage,deed of trust,pledge-agreement, hypothecation agreement,and other security agreements and financing statements which mat be submitted by Lender,and • which shall evidence the terms and conditions under and pursuant to which such liens and encumbrances,or any of them, are given;and also to execute and deliver to Lender any necessary or proper in connection with or pertaining to the giving of the liens and encumbrances. Notwithstanding the foregoing,any one of the above authorized persons may execute, deliver,or record financing statements. Negotiate Items. To draw,endorse,and discount with Lender all drafts,trade acceptances,promissory notes,or other . evidences of indebtedness payable to or belonging to the Corporation in which the Corporation may have an interest,and either to receive cash for the same or to cause such proceeds to be credited to the account of the Corporation with Lender, or to cause such other disposition of the proceeds derived therfrom,as they may deem advisable. Further Acts. In the case of lines of credit,to designate additional or alternate individuals as being authorized to request advances thereunder,and in all cases,to do and perform such other acts and things,to pay any and all fees and costs,and to execute and deliver such other documents and agreements,including agreements waiving the right to trial by jury,as they may in their discretion deem reasonably necessary or proper in order to carry into effect the provisions of these resolutions. r,5to SERVICtg tmr ' • • • fsy9 BE IT FURTHER RESOLVED,that any and all acts authorized pursuant to these Resolutions and performed prior to the passage of y?w lis it "or_ these Resolutions are hereby ratified and approved,that these Resolutions shall remain in full force and effect and Lender may rely on li: 1 these Resolutions until written notice of their revocation shall have been delivered to and received by Lender. Any such notice shall • i...- not affect any of the Corporation's agreements or commitments in effect at the time notice is given. Our Mission: To provide youth and families opportunities for success CORPORATE RESOLUTION Page 2 • - • • ' BE IT FURTHER RESOLVED,that the Corporation will notify Lender in writing at Lender's address(or such other addresses as Lender may designate from time to time)prior to any(a)change in the name of the Corporation, (b)change in the assumed business name(s)of the Corporation, (c)change in the management of the Corporation, (d)change in the authorized signer(s)or (e)change in any other aspect of the Corporation that directly or indirectly relates to any agreements between the Corporation and Lender. No change in the name of the Corporation will take effect until after Lender has been notified. • I FURTHER CERTIFY that the employee named above is duly elected,appointed,or employed by or for the Corporation,as the case may be and occupy the position set opposite her name;that the forgoing Resolutions now stand of record on the books of the Corporation;and that the Resolutions are in full force and effect and have not been modified or revoked in any manner whatsoever. IN TESTIMONY WHEROF. I have hereunto set my hand on July 9,2003 and attest that the signatures set opposite the name listed above is her genuine signature. r CERTIFIED TO AN ESTED BY: • omas, re r ent )4/U id ask,ActingSc etary_ 4 • • • • • p " r f SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) QUESTIONNAIRE 1. Proposed use of property: Completed/existing building to be used as a residence for youths aged 12 to 18 who are in need of alternative housing and care as prescribed by county court and school systems. Modular structure, when approved for addition to property, will be an on-site school to accommodate up to but not exceeding 22 youths. 2. Proposal is consistent with the intent of the Weld County Code, Chapter 22 (Comprehensive Plan) in that we are currently operating a residential home on this site which houses 11 youths. This property is strictly a residential care and school facility and is designed for no other purpose. 3. Proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) in that all utilities (electrical, water, sewage) are in place and approved; adequate drainage is present; and property is in compliance with all necessary codes as required by Weld County. 4. Type of uses surrounding site include agriculture/farm land. Alternative Homes for Youth is currently zoned Agricultural on this site so there would be no conflict of interest with surrounding farm lands. 5. Specifics/details of property: a. Up to 11 youths will be housed in the Monarch House (when Special Use Permit is approved); 11 youths are currently approved for main residence on property; modular structure will house up to 22 students. b. A total of 20 employees are proposed for this site. c. Hours of operation are twenty-four hours a day, seven days a week. d. No additional structures will be erected/built on this site; modular home to be added per this permit application for school use. e. There will be no animals at this site; f. Two school vans and employee autos will access this site. g. Fire protection is provided by Weld County/911. h. Water source provided by Left Hand Water District. i. Sewage disposal system is a sewer system and is managed by St. Vrain Sanitation District. j. Storage and warehouse is not applicable to this site. 6. No proposed landscaping at this time; mature landscaping - large trees and shrubbery already exist. 7. No proposed reclamation procedures planned. 8. Storm water drainage goes to irrigation ditch on east side of property. 9. No buildings to be constructed on site. 10. No storage and/or stockpile of wastes apply to this site. Business Name: % ov4/yd Lena s"i‘t /fan Phone: qa3-774 -,e,9,s 3 Address:7f 119, 4/.47/77) XON� err ptty,ST,Zip: ZYQSa I Business Owner:,�/4.ews _i ,4ya , Z'in,,ts/c /cie.tr q Phone: Q,3-•7s ≥t Y9(0 Home Addressfl /l/ 94 ' 'D' AlarT/6;4ity,ST,Zip: �Q� List three persons in the order to be called in the event of an emergency: NAME TITLE ADDRESS PHONE /!�%vr.: 64h - PASetz . Sendf44,c5.1.e. C#4.4: �•�fe - 1i.2 aF 1�,e,opms e'e-« : V• fl8 /-/- '17 744 en 6,eAgn"- As>, k e..9 /,f eo n s Guest C : 3a-3.. c', 7 J5'.YS Business Hours: ,2i y/,�Ou/Ls Days: 7 Type of Alarm: None Burglar Holdup Fire Silent Audible Name and address of Alarm Company: / _vrscriati ale 7/TpD /v: /0';e442.7. , a 9,vver c et/ Location of Safe: A//jp MISCELLANEOUS INFORMATION: Number of entry/exit doors in this building: .j/ Location(s): ,C „Az I it)> AN e. W Cc?S //ejv7,2/c-eVaa -' /egos>. J • ��1rL' 62-776.4)7- Is alcohol stored in building? ^/a Location(s): — Are drugs stored in building? y£5 Location(s): 4ock-Sp 77eittler Are weapons stored in building?Arp 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 Y Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: _\ Main Electrical: 445dahaler Gas Shut Off: lir 764-,e/Dece -l/.4r7711�,2J,“ Exterior Water Shutoff:AXTge/ON — hri[3ST 42c24L InteriorWaterShutoff: / jgteyngever AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE -11- Hello