HomeMy WebLinkAbout20011838.tiff RESOLUTION
RE: AUTHORIZATION FOR THE WELD COUNTY ATTORNEY TO PROCEED WITH
LEGAL ACTION AGAINST COURTNEY AND ELIZABETH MONAGHAN FOR
VIOLATION OF THE WELD COUNTY CODE
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, Courtney and Elizabeth Monaghan, VI #0000044, are allegedly in violation
of the Weld County Code, and
WHEREAS, despite efforts by the Planning staff to resolve said matter, the violation has
not been corrected, and
WHEREAS, on the 10th day of July, 2001, a public hearing was held before the Board
of County Commissioners for the purpose of hearing testimony relating to said violation, and
WHEREAS, Courtney and Elizabeth Monaghan were not present or represented at said
hearing, although all parties were notified of said hearing by Department of Planning Services
staff, and
WHEREAS, the Board of County Commissioners deems it advisable to refer said
violation to the Weld County Attorney's Office for legal action, with an instruction for delay of
action upon such referral until September 11, 2001, to allow adequate time for the property
owners to bring the subject property into compliance and for an inspection of the property by
the Department of Planning Services staff.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that VI #0000044 be, and hereby is, referred to the Weld County
Attorney's Office for legal action against Courtney and Elizabeth Monaghan to remedy the
violation of the Weld County Code, and any other persons occupying the properties, any
persons claiming an interest in the properties, and any persons acting in active concert with the
identified parties, with an instruction for delay of action upon such referral until September 11,
2001, to allow adequate time for the property owners to bring the subject property into
compliance.
2001-1838
PL0824
pa ,' '4 C% Xp of
VIOLATIONS -VI #0000044 - COURTNEY AND ELIZABETH MONAGHAN
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 10th day of July, A.D., 2001.
BOARD OF COUNTY COMMISSIONERS
���� WELD C TY, COLORADO
ATTEST: LetEl � ]E La y f�w.LL)
���'7 �`'� M. . eile, C it
•
Weld County Clerk to the ar
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♦ lenn Va - em
BY:
Deputy Clerk to the BoY�. (J ,, 1- /-frt.?
Willi Jerke
AP D RM:
iZ vid E. Long
n for a ���\\'1`
Robert D. Masden
2001-1838
PL0824
DATE: June 6, 2001
VIOLATION NUMBER: VI-0000044
NAME: Courtney & Elizabeth Monaghan
ADDRESS: 15601 WCR 49
ZONE DISTRICT: Residential
LEGAL DESCRIPTION: Lot 20, Milton Lake Estates, la` filing, Weld County,
Colorado
PARCEL NUMBER: 1213-13-1-01-003
CASE SUMMARY
January 11, 2000 Initial complaint received.
March 1, 2000 Initial inspection completed.
March 1, 2000 Ten day compliance encouragement letter issued.
April 2, 2001 Violation letter issued.
Property inspected. Property still in violation.
April 23, 2001 Letter sent to property owner indicating that the
violation case was scheduled before the Board of
County Commissioners.
Currently, there is a violation of Chapter 29, Article III (3) , Sections 29-3-10
of the Weld County Code. To bring the property into compliance the property
owner shall obtain building permits and receive all final inspections.
The Department of Building Inspections also recommends that the County Attorney
authorize legal action against any other persons occupying the properties, any
persons claiming an interest in the properties, and any persons acting in active
concert with the identified parties.
2001-1838
fit ,
COLORADO Data Sheet S
VIOLATION:• VI-0000044 STATUS: ISSUED
DESCRIPTION: NO PERMIT STRUCTURE.
BUILDING A DETACHED GARAGE WITHOUT A PERMIT.
BASE INFORMATION:
PARCEL NUMJ3ER: 1213-13-1-01-003
LEGAL DESCRIPTION:
IML-20 L20 MILTON LAKE ESTATES 1ST FILING %15601 W
CR 49%
PEOPLE: APPLICANT MONAGHAN COURTNEY D & ELIZA03/01/2000
15601 WELD CO RD 49
LASALLE
CO 80645
LOCATION: 15601 WELD CO RD 49
APP TYPE: BCV CLASS CODE: VI-21 ZONING DIST: AG
COMMENTS:
JMENDEZ 03/01/2000 STOP WORK ORDER WAS ISSUED ON
1/11/2000 BY MD AND A PERMIT WAS NEEDED FOR THE STRUCTURE.
NO PERMITS HAVE BEEN APPLIED FOR OR ISSUED AS OF TODAY
(3/1/2000).
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i
DATE: July 9, 2001
VIOLATION NUMBER: VI-0100147
NAME: Mary Hackett
ADDRESS: 20477 WCR 53
ZONE DISTRICT: Agricultural
LEGAL DESCRIPTION: Part of the SE4N2N2 of Section 20, T4N, R64W, of the 6`h
P.M. , Weld County, Colorado
PARCEL NUMBER: 1053-20-0-00-024
CASE SUMMARY
March 26, 2001 Initial complaint received.
May 9, 2001 Ten day compliance encouragement letter issued.
May 23, 2001 Violation letter issued.
July 10, 2001 Property inspected. Property still in violation.
June 25, 2001 Letter sent to property owner indicating that the
violation case was scheduled before the Board of County
Commissioners.
Currently, there is a violation of Chapter 29, Article VIII (8) ,Section 29-8-40
of the Weld County Code. To bring the property into compliance the property
owner shall finish all building permits and comply with all Weld County Codes.
The Department of Building Inspections also recommends that the County Attorney
authorize legal action against any other persons occupying the properties, any
persons claiming an interest in the properties, and any persons acting in active
concert with the identified parties.
2001-1853
tMMEMORANDUM
VII
gc, To: Trudy Halsey
From: Sharon Marquez
COLORADO
Subject: Possible Violation
Date: 03/26/01
Mary Hackett is living at the site.
Permit has never been issued.
No water documentation.
No septic approval.
No fees have been paid.
CAROL Hardin hackett JPG —
__ __ Page
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AR2],0453S B 1161 1 02104538 O6/23/87 12: F X6. 00 1/002
F 0422 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
DEED OF TRUST
THIS INDENTURE, Made this 4 t h day of March . 1987 between
Walter F. Hackett and Shirley Ann Hackett
whoseaddressis WCR 53 , Box 20477 , Kersey , Co 80644
hereinafter referred to as grantor,and the Public Trustee of the 'County of
Weld , State of Colorado,hereinafter referred to as Public Trustee,
•
WITNESSETH, THAT, WHEREAS,
Walter F. Hackett and Shirley Ann Hackett
has executed a promissory note or notes,hereinafter referred to in the singular,dated
March 4 , 1987 ,for the
principal sum of Seventeen Thousand and no/100ths Dollars,payable to the order of
Mary Ann Brown
whose address is P. O . Box 837 , Longmont , Co 80501
payable in month 13r ininstallmeniftla the date hereof,with interest thereon from the date thereof
at the of 8% percent per atom'', payable in payments o f $16 2 . 4 6 per month due
e
s n d
payable on the 1st day of April , 1987 and $162 . 46 due and
payable on the 1st day of each month thereafter until principal
and interest is paid in full .
AND WHEREAS,The grantor is desirous of securing payment of the principal and interest of said promissory note in whose hands soever the said
note or any of them may be. f
NOW,THEREFORE,The grantor, in consideration of the premises and for the purpose aforesaid,does hereby grant,bargain,sell and convey
unto the said Public Trustee in trust forever, the following described property,situate in the
County of
Weld ,State of Colorado,to wit
The Ni of the Ni of the SET of Section 20 , Township 4 North ,
Range 64 West of the 6th P .M.
Atal`‘)
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�J�t� CO�lsst• C�
•
also known by street and number as WCR 53 , Box 20477 , Kersey , Co 80644
TO HAVE•AND TO HOLD the same,together with all and singular the privileges and appurtenances thereunto belonging:In Trust nevertheless,that
in case of default in the payment of said note or any of them,or any part thereof,or in the payment of the interest thereon,according to the tenor and effect of
said note or any of them,or in the payment of any prior encumbrances,principal or interest,if any,or in case default shall be made in or in case of violation
or breach of any of the terms,conditions,convenants or agreements herein contained,the beneficiary hereunder or the legal holder of the indebtedness
secured hereby may declare a violation of any of the covenants herein contained and elect to advertise said property for sale and demand such sale,then,
upon filing notice of such election and demand for sale with the Public Trustee,who shall upon receipt of such notice of election and demand for sale cause
a copy of the same to be recorded in the recorder's office of the county in which said real estate is situated,it shall and may be lawful for the Public Trustee
to sell and dispose of the same(en masse or in separate parcels,as the said Public Trustee may think best),and all the right,title and interest of the grantor,
his heirs or assigns therein, at public auction at the front door of the Court House, in the County of Weld
,State of Colorado,or on said premises,or any part thereof as may be specified in the notice of said sale,for the highest and best price the
same will bring in cash,four weeks public notice having been previously given of the time and place of such sale,by advertisement,weekly,in some
newspaper of general circulation at that time published in said County of We 1 d ,a copy of which notice shall be mailed
within ten days from the date of the first publication thereof to the grantor at the address herein given and to such person or persons appearing to have
acquired a subsequent record interest in said real estate at the address given in the recorded instrument;where only the county and state is given as the
address then such notice shall be mailed to the county seat,and to make and give to the purchaser or purchasers of such property at such sale,a certificate
or certificates in writing describing such property purchased,and the sum or sums paid therefor,and the time when the purchaser or purchasers(or other
person entitled thereto)shall be entitled to a deed or deeds therefor,unless the same shall be redeemed as is provided by law;and said Public Trustee shall,
upon demand by the person or persons holding the said certificate or certificates of purchase,when said demand is made,or upon demand by the person
entitled to a deed to and for the property purchased,at the time such demand is made,the time for redemption having expired,make and execute to such
person or persons a deed or deeds to the said property purchased,which said deed or deeds shall be in the ordinary form of a conveyance,and shall be
signed,acknowledged and delivered by the said Public Trustee and shall convey and quitLiaim io such person or persons entitled to such deed,the said
property purchased as aforesaid and all the right,title,interest,benefit and equity of redemption of the grantor,his heirs and assigns therein,and shall
recite the sum or sums for which the said property was sold and shall refer to the power of sale therein contained,and to the sale or sales made by virtue
thereof; and in case of an assignment of such certificate or certificates of purchase, or in case of the redemption of such property, by a subsequent
encumbrancer,such assignment or redemption shall also be referred to in such deed or deeds;but the notice of sale need not be set out in such deed or
deeds and the Public Trustee shall,out of the proceeds or avails of such sale,after first paying and retaining all fees,charges and costs of making said sale,
pay to the beneficiary hereunder or the legal holder of said note the principal and interest due on said note according to the tenor and effect thereof,and all
moneys advanced by such beneficiary or legal holder of said note for insurance,taxes and assessments,with interest thereon at 15% per cent per
annum,rendering the overplus,if any,unto the grantor,his legal representatives or assigns;which sale or sales and said deed or deeds so made shall be a
perpetual bar,both in law and equity,against the grantor,his heirs and assigns,and all other persons claiming the said property,or any part thereof,by,
from,through or under the grantor,or any of them.The holder or holders of said note or notes may purchase said property or any part thereof;and it shall
not be obligatory upon the purchaser or purchasers at any such sale to see to the application of the purchase money. If a release deed be required,it is
agreed that the grantor,his heirs or assigns,will pay the expense thereof.
*If in Denver,insert"City and."
•
No. 341A. Rev. 2-84. DEED OF TRUST(Public 71•usteel With Due on Sale Clause
10-BS 111
Bradford Publishing,5825 W.6th Ave.,Lakewood,CO 80214—(303)233-6900
When rrrorriprt ...Mr,"in
B 1161 REC 0-' 04538 06/23/87 12:59 '6. 00 2/002
F 0423 MARY .__Li FEUERSTEIN CLERK & RECOi,.:,,R WELD CO, CO
And the grantor,for himself and his heirs,personal representatives or assigns covenants and agrees to and with the Public Trustee,that at the time of ��
the ensealing of and delivery of these presents he is well seized of the said land and tenements in fee simple,and has good right,full power and lawful C`i
authority to grant,bargain,sell and convey the same in the manner and form as aforesaid;hereby fully and absolutely waiving and releasing all rights and U
claims he may have in or to said lands,tenements,and property as a Homestead Exemption,or other exemption,under and by virtue of any act of the
General Assembly of the State of Colorado,or as any exemption under and by virtue of any act of the United States Congress,now existing or which may
hereafter be passed in relation thereto and that the same are free and clear of all liens and encumbrances whatever,except a l 1 those of
record .
and the above bargained property in the quiet and peaceable possession of the Public Trustee,his successors and assigns,against all and every person or
persons lawfully claiming or to claim the whole or any part thereof,the grantor shall and will Warrant and Forever Defend.
Until payment in full of the indebtedness,the grantor shall timely pay all taxes and assessments levied on the property;any and all amounts due on
account of principal and interest or other sums on any senior encumbrances,if any;and will keep all improvements that may be on said lands insured
against any casualty loss,including extended coverage,in a company or companies meeting the net worth requirements of the beneficiary hereof in an
amount not less than the then total indebtedness.Each policy shall contain a loss payable clause naming the beneficiary as mortgagee and shall further
provide that the insurance may not be canceled upon less than ten days written notice to the beneficiary.At the option of the beneficiary,the original policy
or policies of insurance shall be delivered to the beneficiary as further security for the indebtedness.Should the grantor fail to insure and deliver the
policies or to pay taxes or assessments as the same fall due,or to pay any amounts payable upon senior encumbrances,if any,the beneficiary may make any
such payments or procure any such insurance,and all monies so paid with interest thereon at the rate of 15 %per annum shall be added to and
become a part of the indebtedness secured by this Deed of Trust and maybe paid out of the proceeds of the sale of the property if not paid by the grantor.In
addition,and at its option,the beneficiary may declare the indebtedness secured hereby and this Deed of Trust to be in default for failure to procure
. insurance or make any of the payments required by this paragraph.
If all or any part of the property or an interest therein is sold or transferred by the grantor without beneficiary's prior written consent,excluding(a)the
creation of a lien or encumbrance subordinate to this Deed of Trust,tb)the creation of a purchase money security interest for household appliances,(c)a
transfer by devise,descent or by operation of law upon the death of a joint tenant or(d)the grant of any leasehold interest of three years or less not
containing an option to purchase,beneficiary may,at beneficiary's option,declare all the sums secured by this Deed of Trust to be immediately due and
payable.Beneficiary shall have waived such option to accelerate if,prior to the sale or transfer,beneficiary and the person to whom the property is to be
sold or transferred reach agreement in writing that the credit of such person is satisfactory to beneficiary and that the interest payable on the sums secured
by this Deed of Trust shall be at such rate as beneficiary shall request. I
AND THAT IN CASE OF ANY DEFAULT,Whereby the right of foreclosure occurs hereunder,the Public Tnistee or the holder of said note or
certificate of purchase,shall at once become entitled to the possession,use and enjoyment of the property aforesaid,and to the rents,issues and profits
thereof,from the accruing of such right and during the pendency of foreclosure proceedings and the period of redemption,if any there be:and such
possession shall at once be delivered to the Public Trustee or the holder of said note or certificate of purchase on request,and on refusal,the delivery of
such possession may be enforced by the Public Trustee or the holder of said note or certificate of purchase by any appropriate civil suit or proceeding,and
the Public Trustee,or the holder of said note or certificate of purchase.or any thereof,shall be entitled to a Receiver for said property,and of the rents,
issues and profits thereof,after such default,including the time covered by foreclosure proceedings and the period of redemption,if any there be,and shall
be entitled thereto as a matter of right without regard to the solvency or insolvency of the grantor or of the then owner of said property and without regard to
the value thereof,and such Receiver may be appointed by any court of competent jurisdiction upon ex pane application and without notice—notice being
hereby expressly waived—and all rents, issues and profits, income and revenue therefrom shall be applied by such Receiver to the payment of the
indebtedness hereby secured,according to the law and the orders and directions of the court.
AND,That in case of default in any of said payments of principal or interest,according to the tenor and effect of said promissory note aforesaid,or any
of them,or any part thereof,or of a breach or violation of any of the covenants or agreements herein,by the grantor,his personal representatives or assigns,
then and in that case the whole of said principal sum hereby secured,and the interest thereon to the time of the sale,may at once,at the option of the legal
holder thereof,become due and payable,and the said property be sold in the manner and with the same effect as if said indebtedness had matured,and that
if foreclosure be made by the Public Trustee,an attorney's fee of the sum of reasonable dollars
for services in the supervision of said foreclosure proceedings shall be allowed by the Public Trustee as a part of the cost of foreclosure,and if foreclosure
be made through the courts a reasonable attorney's fee shall be taxed by the court as a part of the cost of such foreclosure proceedings.
The singular number shall include the plural,the plural the singular,and the use of any gender shall be applicable to all genders.
Executed this yf4e day of --,:i..,15.....:.-,1..-. 19
--",7 -
/l,t, - 977-i/11-e- ---
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Walter E. Hackett� � .
tSEALI ,L k a t/ 62--2t y4�' sll,, G
Shirle'y Ann Hackett
State of Colorado
+ •y y County of Iss.
.. , The••q�,, }n. nt was acknowledged before me this day of 19
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DEPARTMENT OF PLANNING SERVICES
Co
Code Compliance Division
wiip O WWW.CO.WELD.CO.US
E-mail Address: thalsey@co.weld.co.us
• 1555 N. 17th Avenue, Greeley, CO 80631
COLORADO Phone (970) 353-6100x3540
Fax (970) 304-6498
June 25, 2001
Ms. Mary Hackett
20477 WCR 53
Kersey, CO 80644
Subject: VI-0100147 Part of the SE4N2N2,of Section 20,T4N,R64W of the 6`h P.M.,Weld County,Colorado
Dear Ms. Mary Hackett:
The property referenced above remains in violation of the Weld County Building Code Ordinance. I have
scheduled a meeting with the Board of County Commissioners on July 10,2001,at 10:00 a.m., to consider the
violations occurring on the property. As we discussed the above mentioned property is in violation of the
following Section(s)of the Weld County Code:
Section 29-3-50 "Existing use or occupancy"
Section 29-840 "Expiration of permit"
This meeting will take place in the County Commissioners'Hearing Room, First Floor,Weld County Centennial
Center, 915 10th Street, Greeley, Colorado. It is recommended that you or a representative be in attendance
to answer any questions the Board of County Commissioners might have about the violations.
Please also be advised that I will be taking video from the road or adjacent properties the day before the Violation
Hearing (indicated above).
The Department of Building Inspection will be recommending that the Board of County Commissioners
authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that
you were made aware of the nature of the violation, the action necessary to correct the violation, and that you
were given sufficient time to remedy the violation. If you have any questions concerning this matter, please call
me.
Sincerely,
Trudy Halsey AS i\
Building Compliance Officer
pc:VI-0100147
Jeff Reif, Building Official
Bruce Barker, County Attorney
DEPARTMENT OF Building Inspection
Code Compliance Division
Website: WWW.CO.WELD.CO.US
E-mail Address: thalsey@co.weld.co.us
C 1555 N. 17th Avenue, Greeley, CO 80631
O Phone: (970) 353-6100, Ext. 3540
Fax: (970) 304-6498
COLORADO
WELD COUNTY
BUILDING VIOLATION NOTICE
May 23, 2001
Ms. Mary Hackett
20477 WCR 53
Kersey, CO 80644
Subject: VI-0100147 Part of the SE4N2N2, of Section 20, T4N, R64W of the 6`" P.M., Weld County,
Colorado
Dear Mary Hackett:
The uses on the above described property are being considered as a zoning code violation of Sections of the
Weld County Code. Currently your property is in violation of the following Section(s)of the Weld County Code:
Ordinance 119 states that all permits need to be finished with in 180 days.
To bring your property into compliance with the Weld County Code:
You must get finale permit inspections completed.
It is the intention of this office to assist and cooperate with you without imposing undue hardships;however,we
have no discretion in this matter if you fail to correct this violation. You have 30 (thirty) days from , May 23,
2001,to correct this zoning violation. Failure to do so will result in this office scheduling the violation before
the Board of County Commissioners to consider whether to refer the violation to the County Attorney's Office
for legal action. -
Any information you have that may help to resolve this matter will be helpful. Should you have any questions
regarding this letter, or if you need any further information, please feel free to contact me at the above address,
telephone number or e-mail address. If you wish to see me personally, please call to schedule an appointment
so that I may reserve a sufficient amount of time with you.
Sincerely,
11,,kt
Trudy Halsey
Building Compliance Officer
pc: VI-0100147
Jeff Reif, Building Official
Bruce Barker, County Attorney
SERVICE,TEAMWORK,INTEGRITY,QUALITY
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DEPARTMENT OF Building Inspections
Code Compliance Division
1 lt Website: WWW.CO.WELD.CO.US
E-mail Address: thalsey@co.weld.co.us
1555 N. 17th Avenue, Greeley, CO 80631
Phone: (970) 353-6100, Ext. 3540
Fax: (970) 304-6498
COLORADO
May 9, 2001
Ms. Mary Hackett
20477 WCR 53
Kersey, CO 80644
Subject: VI-0100147, Part of the SE4N2N2, of Section 20,T4N, R64W of the 6th P.M.,Weld County, Colorado
Dear Mary Hackett:
It has come to the attention of the Department of Building Inspections that the uses on your property may not
be in compliance with the Weld County Code. The potential noncompliance with the Weld County Code is your
permits are expired.
Please contact me within ten working days of the date of this letter to review these concerns with me or a thirty-
day violation notice will be issued. Feel free to contact me at the above address, telephone number or e-mail
address. If you wish to see me personally, please call to schedule an appointment so that I may reserve a
sufficient amount of time with you.
Sincerely,
Trudy Halsey
Building Compliance Officer
pc: VI-0100147
Jeff Reif, Building Official
Bruce Barker, County Attorney
SERVICE,TEAMWORK,INTEGRITY,QUALITY
. n
art.
Fermi!N IVI-0i 00147 Location:120477 VdCR 53
, tntliq ICOMPI NT APPLICA.NT IMA.RY HACK.ETT
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Update + Edit Back
Parcel No: J1053-20-0-00-024
Owner HHACKETT WALTER F B SHIRLEY ANN r
Status: ICOMPLNT i Written By 1TSH Sec/Twn/Rng: 120 04 64
D9scription: !Mary Hackett is Wing in home now before any finals have been compleated.II HP
Location: 120477 WCR 53
Zoning:Dist::1ARG Permit Num;.
App Type: 1 BCV zi(BCV-BLDNG Ma.VI-ZONING VI0.WCV=WELD MO"bad' vi"):
(lass Code: IVI-33 _..
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.' {PERMIT EXPIRATION VI0
Complaint: [03/26/2001 Ink 1TSH NO VI: 1—,`/, [nit: I _
5 Day Le- ttec 105/08/2001 . Init. 1TSH
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WELT COUNTY PLANNING COMMIS. J
SERVICES BUILDING
GREELEY, COLORADO 80631
rtirs IS AN APPLICATION FO,,R//A MOBILE HOME AND NOT THE ACTUAL PERMIT:
NAME G da • , / ,.• -TT- Date .5-P a-) 9. / 9 7Z-
ADDRESS 2 ..I.O- -- &al5/ PERMIT No. 7* 1
TOWN d '7-i-,,Adi Fee /1 ` "r-
PHONE ii‘4- D l3/5- Location from nearest town , >27, S 7''
Zone 1,
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Complete legal description where mobile home wil be located77-1-41-1t7
YtNi-y c' N E rE Sec 0 T V R 4 /
Number of cattle fed Acres Irrigated Dryland •VO
Average Number per year Pasture Total Acres 0
Do you own the parcel of land where the mobile home will be located? .tea
If no, State the legal owner
Do you own the mobile home? ..€..,
How many mobile homes are on this property are at the present time? )14-,,. �
What housing is available on the farm and what is it's use at the present time?
REASON FOR THE MOBILE HOME Q h„,,,,,:,u O_- G`'.-u—!` -,o 7. 4Zieri
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WELD COUNTY CLERK AND RECORDER: G
YEAR / 72 MAKE 1"Idc..7'"1d�t / MODEL SERIAL No. eia)Prdkto Ty625
VALUATION OF MOBILE.HOME 6 c) d n SIZE ,/. X 4G
Approved by 7Z, ,,' td — c1 Z4 P..e...4.7,. ) 4.i,-- --
\g/C?7 7 Signec,Jc i ..... ./ 1-) 0 �
/- fu (Applicant)
COMPLETE ALL QUESTIONS, IF THEY DO NOT APPLY TO YOU PUT N.A. IN SPACES
IN 14 7,$ gerlaced `pith /Cf 72 Frei ,'€r Seria,/ 0. u - 0 2.3 6-5 2 5,AB
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U.S. Postal Service
CERTIFIED MPT
(Domestic Mail OAILnly: NoRECEI Insurance Coverage Provided)
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Return ReceiPt Fee
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Restricted Desvoy Fee
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Total Postage S Fees
-eclp ents Name (Pleasetri Print Clearly)(To be completed by mailer)
Street,Apt.No.;or PO BOX No•
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PS Form 3800,Februar 2000
SEN e E•: CeM�LETE THIS SECT/eN
CsM•LETE THIS SECTI eN eN RELIVE•Y
• Complete items 1,2, and 3.Also complete A. Received b item 4 if Restricted.Delivery is desired. Y(P/ease Print Clearly) B. e.to of Delivery
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Print your name and address'on the reverse - �.v u
so that vi@ can return the card to you. C. Signature
• Attach this card to the back of the mailpiece,
or on the front if space permits. X '' Agent
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1. Article Addressed to: - r" -- Addressee
D. Is delivery address different from i: 1? 0 Yes
f MS. COURTNEY MONCHAN If YES,enter delivery address below: 0 No
15601 WCR 49 •
j LASALLE, CO 80645
3. Service Type
${Certified Mail 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number(Copy from service label) Yes
PS Form 3811,July 1999
y Domestic Return Receip
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