HomeMy WebLinkAbout20031582.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW (USR) APPLICATION •
FOR PLANNING DEPARTMENT USE DATE RECEIVED:
RECEIPT#/AMOUNT# _/$ CASE#ASSIGNED:
APPLICATION RECEIVED BY PLANNER ASSIGNED:
Parcel Number n g nn-.n 3-n - a n- n ri p
(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 pr..° ,vE 4/ , -5--G s , Sectionn, Township_North, Range_West
Flood Plain: Zone District: , Total Acreage: , Overlay District:
Geological Hazard:
FEE OWNER(S) OF THE PROPERTY: nn
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Name: i12jJ,(/ilE[ -vc /J.v/Td SiF4/C!fF?-
Work Phone#_ Home Phone# Sni- C/?Q Email Address
Address:fl990 44/2,4, y �
City/State/Zip Code ,4 SA. U c do 5704 9s
Name: . %/2,74/o 14/'tAt c)
Work Phone# Home Phone# 3 7,,)- ss--7 Email Address
Address: jr--4y //'" Ace
City/State/Zip CodeSki,9 (%,)
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: 7ZTi7 .41 l,4LL, 2 OD
Work Phone# a 9/'c c Home Phone# j>6 Z03 S( Email Address
Address: Sa! 7 t= g y 2r 5 T
City/State/Zip Code 6.-i -c am If.- r,,, -� v
A PROPOSED USE:
Fri
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.
2003-1582
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Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date
-5-
FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION
BUSINESS EMERGENCY INFORMATION:
Business Name: 6 , S. /_9 tiers Phone:(Q}v '?
1 / -o/g
Address: / ?9)o (� C lZ City,ST,Zip: 6-14 e 8'06 v 5
Business Owner: „O944./i hei 544./C 2— Phone: (:q 7Cj ley-O/ 8-9
Home Address: / 'Jo la) C2 sa City,ST,Zip: LA_ ,1411(6 C
List three persons in the order to be called in the event of an emergency:
NAME TITLE ADDRESS PHONE
M4pnt// o /UAU42ito .3o.' y // AV ,,cittus t!9(aa 352- 55-75`
L=sv5 AyL'//f' Z 35-3
H' yiti A C' S,-,/i •4o toot 4/7 /leafy l°> col y y ✓ Ai- !.,2 r' .-
Business Hours: , s,=, - y -/ Days:Y � i4/5
Type of Alarm: None Burglar Holdup Fire Silent Audible
Name and address of Alarm Company:
Location of Safe:
MISCELLANEOUS INFORMATION:
Number of entry/exit doors in this building: d Location(s):
Isalcoholstored in building? .t/L7 Location(s):
Are drugs stored in building? / OLocation(s):
Are weapons stored in building? ,4. O Location(s):
The following programs are offered as a public service of the Weld County Sheriffs Office. Please indicate the
programs of interest. Physical Security Check Crime Prevention Presentation
UTILITY SHUT OFF LOCATIONS:
Main Electrical: 7(v5rrpc
Gas Shut Off: /CIO 64 S
Exterior Water Shutoff: NO fuR/WL/C.4eIE
Interior Water Shutoff: ,fj o ti 6 ,>YQ(tit 014/K%
/K%
-11-
SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW (USR) QUESTIONNAIRE
The following questions are to be answered and submitted as part of the USR application. If a question does not
pertain to your use, please respond with "not applicable", with an explanation as to why the question is not
applicable.
1. Explain, in detail, the proposed use of the property. r e m*xc -. fl nkct err-3
2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22
(Comprehensive Plan). Oc f/lly,vG w, rri nein ALES .
3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) and
the zone district in which it is located. e cm it y,v6 um a 7lfErd x'o/eS.
4. What type of uses surround the site? Explain how the proposed use is consistent and compatible with
surrounding land uses. o/iv 5,'htt /oyL S?Act,z'c ttter3 (e'/ca Trh.vyp �7it�
5. Describe, in detail, the following:
a. How many people will use this site? 1.4/n[Ly -of 60E-
b. How many employees are proposed to be employed at this site? ( roll 17MC cev>/sy/vc of
M2 5%Vvcd62, SDwe-a4les Fn
c. What are the hours of operation? 7'4.v TO 7,PM me',oe6S w;[[ //61-0
d. What type and how many structures will be erected (built) on this site? 0/4
ce, ,s .✓uT /Q1ep E)
e. What type and how many animals, if any, will be on this site?-t•-fos=t5aPelcv 2s
f. What kind (type, size, weight)of vehicles will access this site and how often? / 1(41i, r,e4iL6.t E cc e� '
3 cveees
g. Who will provide fire protection to the site? /q c4lle 64,6- PLorgy7io4 0 tS!'l�«
h. What is the water source on the property? (Both domestic and irrigation). 9oitr`itt c{w&LL
What is the sewage disposal system on the property? (Existing and proposed).repri c rtfnE.FH lvc17ueg
j. If storage or warehousing is proposed, what type of items will be stored? tot " Pad el 5
6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted as a
landscape plan map as part of the application submittal. tic .Lhwi)4 c4 p r vb
7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity
occurs. N1/3/4-
8. Explain how the storm water drainage will be handled on the site. Of Tc/r Oti E0 yi
9. Explain how long it will take to construct this site and when construction and landscaping is scheduled to
begin. NO ,Cotiy fYLvc7,o'- w r4t4 y Ocilr
10. Explain where storage and/or stockpile of wastes will occur on this site. • c✓•i5T atijr5r_c U f c...-,l
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