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HomeMy WebLinkAbout860465.tiff RESOLUTION RE: APPROVAL OF RECORDED EXEMPTION NO. 868 - STEPHEN L. AND DEBORAH A. SAUER 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, the Board of County Commissioners, pursuant to its authority under Section 30-28-101 (10) (d) , CRS, as amended, did determine at a public meeting held in the Chambers of the Board, that a certain parcel of land, to be divided into two parcels, as shown on the plat known as Recorded Exemption No. 868 , does not come within the purview of the definition of the terms, "subdivision" and "subdivided land" , and WHEREAS, the request for Recorded Exemption No. 868 was submitted by Stephen L. and Deborah A. Sauer for property which is located in part of the SEa , Section 26 , Township 5 North, Range 67 West of the 6th P.M. , Weld County, Colorado, being more particularly described in the plat which shall be provided by the applicant and known as Exhibit "A" , said plat to be recorded, and WHEREAS , this request is to divide the property into parcels estimated to be approximately 6 acres and 11 acres. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the hereinabove described parcel of land be, and hereby is , exempt from the definition of the terms , "subdivision" and "subdivided land" . BE IT FURTHER RESOLVED by the Board that this approval is conditional upon the applicant submitting a mylar plat to the Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be drawn in accordance with the requirements of Section 9-2C. (4) of the Weld County Subdivision Regulations. The plat shall be submitted within sixty days from the date of approval by the Board of County Commissioners. PL DD' 860465 /�2 Page 2 RE: RE #868 - SAUER The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 14th day of May, A.D. , 1986 . ATTEST:Vieth, BOARD OF COUNTY COMMISSIONERS U/1 Q� WELD COUNTY, COLORADO Weld County Clerk and Recorder and Clerk to the Board cqu 'ne n on Chairman G BY: - C`79t-ru a- , ,4-4-u sa' G Lacy Tem D putt' County Cl k APPROVED AS TO FORM: Gene R. Brantner �� C:F; � b 7 County Attorney Fra:Y Yamaguc 860465 DEPART' .NT OF PLANNING SERVICES PHONE(303)356-4000 EXT.4400 915 10th STREET OREELEY.COLORADO 80631 I C. COLORADO May 14, 1986 Board of County Commissioners Weld County Centennial Center 915 Tenth Street Greeley, CO 80631 Re: Recorded Exemption #868 Dear Commissioners: This request for a recorded exemption is submitted by Stephen L. and Deborah A. Sauer. The parcel of land on which this request is being made is described as part of the SE} of Section 26, T5N, R67W of the 6th P.M. , Weld County, Colorado. The property is located .5 mile northeast of Milliken on Weld County Road 52. The parcel of land under consideration is the total contiguous land holdings of the applicant. The request is to divide the property into parcels of 6.2 acres and 11 acres, more or less. The property owners, Raymond and Helen Sauer, wish to retain the smaller parcel in its present use and sell the larger parcel for a residential homesite to applicants Stephen and Deborah Sauer. The majority of the property is pasture. Proposed Lot A contains one residence and farm outbuildings; frontage to Weld County Road 52 is estimated at four hundred feet. The applicant is requesting to develop the rear portion of the existing 17 acre lot. The frontage on proposed Lot B to Weld County Road 52 would be approximately 50 feet; access to the internal lot would be provided by a 50 by 311.5 foot driveway located adjacent to Lot A's western boundary. The following referral agencies have reviewed the application materials and have no objection to the request: - Town of Milliken - Weld County Health Department A Air Greeley Loveland Irrigation Company {� 86O465 Board of County Commissioners May 14, 1986 Page 2 The Department of Planning Services staff reviewed the Sauer's proposal on May 7, 1986, and has concerns for approving a request to create an "flagpole" lot which has only 50 feet of road frontage. It is the staff's opinion that the subdivision of land allowing an internal parcel withouth the proposed configuration of Lot B, as requested by the applicant is not consistent with efficient and orderly development. She staff requests the Board of County Commissioners consider this recorded 'exemption application and determine if the standards of Section 9-2 E. (1) (a) through (m) have been met. Respectfully, tjci- V • G or V. Dunn C r t Planner DEPARTMENT OF PLANNING SERVICES RECORDED EXEMPTION ADMINISTRATIVE REVIEW Applicant: Stephen L. and Deborah A. Sauer Case No: RE-868 Legal Description: Part of the SEI of Section 26, T5N, R67W of the 6th P.M. , Weld County, Colorado Larger Lot Size: 11 acres _Small Lot Size: 6.2 acres Criteria Check List Meets Criteria Yes No X 1. Consistent with the _intent of the zone district. X 2. Compatible with the existing surrounding land uses. X 3. Compatible with the future development of the -surrounding area. X 4. Complies with Overlay District Regulations. X 5. -Complies with minimum lot size requirement. X 6. Complies with the Weld County Comprehensive Plan. X 7. Consistent with efficient and orderly development. X _8. Lots accessible from an existing public road. X 9. Adequate water supply. X 10. Adequate sewage disposal in compliance with requirements of the Weld County Health Department. X 11. Lots are not part of a recorded Exemption approved within less than five (5) years previous, are not part of a subdivision, or are not part of a Minor _Subdivision. X 12. Does not evade the Weld County Subdivision Regulations requirements and Statement of Purposes. A hearing before the Board of County Commissioners has been scheduled for May 14, 1986, to consider the application. 1 • -ByDate lk 7 /9 ie6 Lure t Planner 4c - 4940 \, so o0 0 , 4950 . 4960-- -\ \ / t .22 � 22 c, 5 a � $ 24 soao „7 aa�so �i 5000 A , o / — N D� �� 09S - ,O'4 V • L I ,Beacon^ 5029 - F� µ3 �T' _ _6M - _ L 50ao , 5036 27 m e-4 25} 26 s 2G p 1 `, o / 0`0 Rs- o g 0 \ l 1 1 �� 2' 2b / 25 f i� - 2 4950 ^ 0 Fr �77 - - 4MI -- • 1 O•�,`,,7�� �� "�� � ,, it ;A f _ )_ �,. -0B I; 4976 � Faicvie Sc q �� M Grp _y,_-_=,,,,,i.% — , �/ - it oo I / ' r. r ' ' i 0 ;� e�/ ` i � 33 171---- m 40 J ! 14955 aesa r _Ill �V ,; \��i III \r y � , / n78o i t� 2U . s Ir � b � , e� : V J( 1 r4741 - ..,---1\ , pi�r i I()' C�, (,� ( I oe0 I y• I. 7z _ 4>'a jee 4Ja4 L 24,±V-----,----._, acs°o "2i i 450" - I . G��i1a1c-z' i /44i \\ i FIELD ERECT( FILING NUMBER-R: -RE-868 DATE OF INSPECTION: May 8, ].986 NAME: Stephen and Deborah Sauer REQUEST: Recorded Exception LEGAL DESCRIPTION: Part of the SE t of Section 26, T5N, R67W of the 6th P.M. , Weld County, Colorado. LOCATION: Approximately .5 -mile northeast of Milliken, north of -Weld -County Road 52, and east of Highway 257. LAND US£: N Grassland E Cattle pens and Gulley S Weld County Road 52, 2 residences W Grassland and farmland ZONING: N Agricultural E Agricultural S A-gricultural W Agricultural, Milliken City Limits COMMENTS: Access to the property is from Weld County Road 52 which is a gravel surfaced road. The property elopes to the -north with gullies in the area. It would not be feasible to use the existing driveway as access to lot "B" because of -the terrain. By: /44 d atL ..„ Debbie Z. DeBesche Current Planner W::'..✓i6J°.L th 5 REFERRAL LIST APPLICANT: Stephen L. and Deborah Sauer CASE NUMBER: RE-868 SENT RE-FE-RRALS OUT: April 9, 1986 -REFERRALS TO BE RECEIVED BY: April 28, 1986 NO SR NR NO SR SIR _ County -Attorney V X Weld County Health Dept. Engineering Department County Extension Agent Office of Emergency Mngmt _ State Engineer Division of Water Resources 1313 Sherman Et. , Room B18 Denver, CO 80203 St-ate Highway Department 1420 2nd Street Greeley, CO 80631 Colorado Department of Health Water Quality Control -Division 4210 East 11th Avenue Denver, CO 80220 Town of Milliken c/o Gail Seeburger P.O. Drawer 290 Milliken, Colorado 80543 X Loveland and Greeley Canal c/o Ronald £urkman B08 23rd Avenue Greeley, Colorado 80631 NO=No -Objection SR=Specific Recommendations NR=No Response DEPARTMENT OF PLANNING SERVICES PHONE(303)356.4000 EXT.4400 915 10th STREET GREELEY,COLORADO 60631 I Till COLORADO CASE NUMBER RE-868 April 9, 1986 TO WHOM IT MAY CONCERN: I � Enclosed is an application from Stephen L. and Deborah A. Sauer for a recorded exemption. The parcel of land is described as part of the SE} , Section 26, T5N, R67W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately .5 mile northeast of Milliken; north of Weld County Road 52 (49th Street) and east of Highway 257. This application is submitted to your office for review and recommendations. Any comments or recommendations you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the proposal and will ensure prompt consideration of your recommendations. If a response from your office is not received within fourteen (14) days of mailing from our office, it may be interpreted to mean approval by your office. If you are unable to respond within fourteen (14) days (but wish to do so at a later date) please notify our office to that effect. Check the appropriate boxes below and return to our address listed above. Please reply by April 28, 1986, so that we may give full consideration to your recommendation. 1. We have reviewed this request and find that the request - j (does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request 4Q) (is/is not) compatible with the interests of our town for the following reasons: ,4,p mi i/cu / (-n TULA pl,l,nt.a) 3. A formal recommendation is under consideration and will be submitted to you prior to: 4. Please refer f/ to the enclosed letter. / / / Signed: nr?J/ /1fjgallp 1 [LJ J Agency: /x4117)lfiy . l ffiryj Date: 7-���/UU_T10e d Thank you very much for your help and cooperation in this matter. :ii54)r1fej Glo is b. Dunn �r Wr Curse /Planner �;, , 1986 APPLICATION FOR -RECORDED EXEMPTION PHONE: 35514000, Ext. 4400 Department of Planning Services, 913 10th Street, Greeley, Colorado 80631 FOR PLANNING DEPARTMENT USE -ONLY: APPL. FEE CASE NO. RECORDING FEE ZONING DISTRICT RECEI-PT NO. DATE _ APPL. CHECKED BY TO BE COMPLETED BY APPLICANT: (Print or type only 'except for required signatures) I (we) , the undersigned -hereby i'equest that the following described property be designated a -recorded exemption by the Weld County Beard of County Commissioners. LEGAL -DESCRIPTION: art of SE quarter of section 26, Township 5 North, Range 6? ',Jest, Weld County, Colorado. TOTAL ACREAGE: 17.2 acres Has this property been divided from or had divided from it any other property since August 30, 1972? Yes No x Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes X No FEE OWNERS OF PROPERTY: Name: 2aymond `1. and Helen F. Sauer Address: 109'-H? Weld County Rd. 52. Milliken. cc Phone: 507_2cL57 Name: Address: Phone: Name: Address: Phone: Little Thompson WATER SOURCE: Larger Parcel Water District Smaller Parcel City of areeley -TYPE OF SEWER: Larger Parcel septic system Smaller Parcel septic system single family existing single -PROPOSED USE: Larger Parcel dwelling & Smaller Parcel family dwellin, pasture land ACREAGE: Larger Parcel 11 acres Smaller Parcel 6.2 acres BXISTING DWELLINGS: (Yes or No) yes (Yes or No) Ye I hereby depose and state under the penalties of perjury that all statements, proposals, and/or plans submitted with or contained within this application are true and correct to the best of my knowledge. COUNTY OF WELD ) STATE OF COLORADO ) "wig 'Signatur : Owner or Authorized Agent Subscribed and sworn to before me this day of AQR 1L__ , 19c1„, (SEAL) . .mac. of ry Bub c My Commission Expires-March 24,1990 Statements regarding_recorded exemption application for property at 1-0947 Weld County-Rd. 32, Nilliken, CD. Application being made by Stephen Z. and Deborah A. Sauer. 1 . form attached 2. form attached 3. form attached 4. To build a single Family dwelling on the 11 acre lot. 5. The remaining property will remain pasture land. 6. Property is zoned agricultural and will be used for pasture land in addition to the residence. 7. -Raising livestock and grass crop which is what the existing surrounding land is being used for. 8. With a residence on this lot occupied by a growing family, the land will be put back into productive use again. The raising of livestock, grass crop, and large family vege- table garden will put this land to optimum use. 9. Should not hinder Weld County Comprehensive Plan develop- ment of adjacent land. 10. Little -Thompson Water District will provide water. -A letter -is attached showing their commitment. A septic system will be used for sewage disposal. 11. Is not located in any of these areas. 12. Would return the property to active agricultural use which includes cultivation of' the soil and the breeding and raising of livestock. 13. The recorded exemption sketch plan map is attached. S PROPS RTY ADDP-ESS 10 997 v/CR 52 M1LLl kEN , COL.oRADO PART OF S.E. 0UARTER OF r T ION 2C,, To\wNsH,P 5 NORT1n ----- RANG-E 67 v��E T _ _- WELL Caul- NTY, ,C.. oc OF. AC` O is r, 11 11 w '! I I-- � _lI O a . o 1.5 aZZ Cr J 4 11- i.w N -I i W • t9 ,t ' LL Nr K1'14 7.pC a .., pp �ln �� u u ,'' 111 Vl 2 '.t 0 °\\ J a. Q v t G O __I _I • I i en • C U".--� 1 O ' !4L 3 i1 • a- y .7 c: d Q y ) Vt ti ".. i -.: �,�c Z ,,, v .. ❑ i v r ; •-� s s 141 CV ' wo 0 v O A V Q , t l.-i 1 n h, - 4.7 -a O I j 0J / bil Q X'K ,� 0; c C� v J; 3 4- x�[ x 7 J Q. ^, W VI. O + I_ I, Helen F. Sauer, do here-by agree to sell a. portion of my property, approximately 11 acres, to Stephen L. and. Deborah A. Sauer. The legal description of said property is as follow; : Part of SE quarter of section 26, Township 5 North, Range 67 West, '.Weld County, Colorado. 52. The property address is 10947 Weld County Road, Filliken, CC, and -consists of 17.2 acres total. Hel-en F. Sauer Subscribed and sworn before -me this .3/ day of )7/6e--14 1,86. My Commisrion Expirasiuge 14, 1987 2 South Parish Avenue8053Q- G / ' 0/1 '�• �•t•wn, ... 604 �y It 6('f •-G ;e-er--L. Notay ftrblic �r+ Stephen L. Sauer 1014,,,z, a Deborah A. Sauer Subscribed and sworn before me this 1sT day of ,w_ti. 1986. My Commission Expires 3-24-90 ;o ry ' ub is . • WELD COUNTY CERTIFICATE OF CONVEYANCES DEPARTMENT OF PLANNING SERVICES • STATE OF COLORADO ) COUNTY OF WELD ) WF10586 The WELD COUNTY TITLE XPEXEMMEXAKNOMMOTCCOMPANY hereby certifies that it has -made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30, 1972. .LEGAL DESCRIPTION: 17 Acres, more or less, in the SE 1/4 of Section 26, Township 5 North, Range 67 West of the 6th P.M. , Weld County, Colorado. CONVEYANCES (if none appear, so state) : NONE Reception No. , Book Reception No. , Book Reception No. _ , Book Reception No. , Book Reception No. , Book Reception No. , Book Reception No. , Book Reception No. , Book This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title nor an opinion • of -Title, nor a guarantee Title, and the liability of WELD COUNTY TITLE COMPANY is hereby limited to the fee paid for this Certificate. In Witness Whereof, WELD COUNTY TITLE COMPANY has caused this _certificate to be signed by its proper officer this 17th day of FEBRUARY , A.D. , 19 86. at 7:00 A.M. - WELD COUNTY TITLE COMPANY COMPANY By: UTHORIZED SIG A URE Copies of -all documents referred to herein are attached for reference. LITTLE THOMPSON WATER DISTRICT DIRECTORS Telephone 532-2096 Carey J.Salomonson, President 307 Welch Avenue Charles Allen Drawer G Leo easel Berthoud,Colorado 80513 Pat Dorsey David McGee E Thomas Ricord Dean-Anderson MANAGER John M Gruner March 21 , 1986 Ms. Debbie Sauer 741 Sheridan Avenue Loveland, CO 80537 tear Ms. -Sauer: In r-esponse to your request that the Little Thompson Water District provide domestic water service to a new residence to be located on Weld County Road 52 in Section 26 , TWN 5N, Range 67W, the District will commit to serve with the follow- ing conditions. 1) The District currently has a 14 " main located on the south side of Weld County Toad 52 with additional capacity to serve another _residence. 2) I understand that your property does not border Weld County Road -52 but your driveway will exit to this road. Before the District can set the -meter we will need a legal recorded easement, from the person who owns the property, for the area where the meter is to be set approximately 10 ' either side of and in front of and in back of the meter location. 3) She current tap fee for a standard 5/8"x3/4" residential tap is $3 , 000 . 00 and is subject to change without notice. -4) This commitment will expire one year from the date of this letter it a tap has not been purchased by that time. If you have any questions or should you need additional information, please contact our office. Sincera1y, Barr kesC) Operations Supervisor BD/jl aa�� 1'kUIIkI- Y ADDI<tSS I O9 LI7 V/C R 52 MILLIkf N , COLORADO • PART of S.E. auARTER OF5ECTION 26 To ur N-SHIP 5 N O RTT-I HANG-E.-67 W EST l ``-�_ .c----- WELD couNTY) COLORADO 17.2 ACRES w lh I— z Or. \:: 0cr cili. NO .iQ wfJ ktfl OOG []7 ?cvi \Nv• E1-- 0 cc OH Oav `t� Q m r a 1.r, ( ?51 d, L7 w m _x D V n T i'y �� 3 is 3 0 - 1 n g n 0 n V r p.O LI -if n / s 1 -4 ` o 1-0 "- "- 1, -- -4 . O _ f 1 /_ _. N w o $ o -0 v 0_ h X a IV h T LI -a -,- W ^� J ('tip C t • C 1 I e Q1J ><,.„ M ,J j I- I cLu w O --,\---_-_._____- - Q O a- F __ _-V_ - - Orr- >, WC. R5? tf1IL.f' +,��` fl 3 ; , t lt'c �S• .... Y j: w.' �, Mel' z, 'K, tea . �{ .. . s ir1 ' ,4t₹.k. ,•.!;•••74,..,, ' 9�r.Y '*w 1 .4, ' -} '3'"�w ' •'! " '' •fi '•.4.-.4' A:/--‘t,',. ...1 ," } .•_ s4 ..-.�:� <, N a->� K.. � ,'Z' �y� �rl�� 'r`°;h c• f � !f't9♦'+r�t tKTy it +,.+ 'fy.^ r w 'r• s: • °��t''r,4. •ra4, \ .. 4R J yy'•r t4r , \ •i72.e\(p ant,M :rtHii.rye .�x • 1 �µy f ' • tom .... •� i44.4.+.r.+ir' n1 Fl�1b.t'�f`,,air�"s„ S 1*e t r ,x'+cy.y 't9'r'i�t •.y` ; :V.r• jai pr f+tk'sra.3 +r-".. -.1•Nr�SK:s c�/ nif. ;.,'•A i ,`v lt\ t'hi. v�`sC 't+ ..,. < r "Ti,ty,•••% J,t, ik tKd r\„Ai++ ,. 7r s3' ' .+ve\.6,}. V a ;„,. r +s •t ! • p' • . M:°.ur r.} r .;fit-«5"` +.i^i+tr t '� ?naLr�r.. "C!' c :-. r74�?.F'�, 3'k *N:1.4— Y ..: 1 e,, ,.1/4,.. -„,--4.-4.,,..,,r4,..4.;:4, riirsu' 'iat - 1 sr ,t N.. j rrkre^.' 1'A' Y r J o. , •••••.------r'� 'j.24�..-s+ < l� •..r..ir aA. `Rrr +rN3:L+�V •:.> + :Y•.Ah tom= r/ ary ✓r i N ' -$ + •, 904 "ter- _ T_.mot furs 0 930 ' -4--..r- _ 1______3 ��� STATE OF COLORADO ) -- S c°r"^m W.e t..=.+ 0.4 & Pr's*, °"Et;It .. COUNTY OF YIELD ) SS AFFIDAVIT + .t. .. r Joha W. Henderson, acing swoni, states that -he Is of v ,� legal age and has oereonal knowledge of the fact that Ray - ';4 W. Sauer, also known ac - t ' • ` �: Raymo-td W. :bur ,• { Sauer, ie the tame et.s.,• T' R „1 t{-: person as "Raymond Wi 'our Sauer" referrtc to in the cer- • .•AC• iy . Z tN" 1�g�-;, [ified copy of _Death Lt rti:icnrr i,crrto attached, and was, fir at the time his death, on 29, 3i,� _ p_..• march .P.+i " 1-so .' WT., 1980, tt.e owner in ,, , a joint tenancy with Helen > • ..: F. S:,ut r, surviving spouse, of h •• + the following Real Property situate in Meld_ Coun[Y, ;41.4.t.{:zi?.:,;?:.. lei' Colorado, descriued as follows : r �'�`• All that part of t-he South,ast Quarter (SE` of "+ - section IWeuty-'ix (26) , in Township Five (5) North, a oi n Range Sixty-seven (67) West of the -6th P.M. , Weld �` .%°t �Y,1 County, Colorado, more particularly describedas follows: :commencing at the southeast corner _of said r.4 ie. Section 26; thence west along the south line of said section a distance of 561 tee[; thence north 45.2 feet ]♦ ' to the south right of way line of the Greeley and ;raj �` Loveland Canal. thence alone the right of -way line 1^ ' of the Greeley and Loveland Canal to the northernmost r xirt a southeasterly direction alpoint of said right of way line in said Section 26; -rs•y--a thence inong the right ,, a ', � r ; t7r, Y.o+; y of *ray line of raid Canal to the intersection of the �:• r,:�ASa3 Canal with the east Line of said 2 • _Section 6; thence w:# „•11 ;,',1.1,% south along the east line of Section 26 to the point F( ° t` of beg Tning, containing 17.2 acres; ?' i• Except tag an undivided use-half i Lerest in and co - • s1!. all oil, -gas and other mir.rrais located in, fin, or-ty 44e _under said property, as reserved in that certain :(1:::: 1. � heed dated December 2i, 1961 , and recorded 1lecember a* • • .`; , 27, 1961, in book 1603, page 23, Weld County records, :'�.:i": together with all its appurtenances; 4'"+ •I. '-'#,s12111.•:. 1 Cori: and that Affiant ha, no ,record interest in said property. Y 1 . r } St'`. •°••2; Subscribed _and sworn to before me this gyen da _of i 1980, y tv, ark•" WI,'�NE113 my hand and offici-al Se .al 'ay .0 . �C`f wu 1•�• atortdlssion expires: Dec. 20, 1983. zrfgY C - _ x�., /k CIA 1.I: ,l r; o ! Notary Public ,�'£• I. i.r': ' y) p ._-` }} i ! t, t :, rbp. - 'idl+_t+l i.ry tnsit"k i• , .. , 1• t I ) r W� Y R•".. T ire +t't� r r uy , 4 ! r !'t l is `r. }j Y c .r la .•tr<7 }�r tti7- V FR•tR,.. '4% t r.IK M1 +� ,, 1� i Ty^Lr Wrtctcr wt o JT'>,%.rrr - t .1.a P.GVr ♦ <C �r rif Jr Qom^• 1M �''• .111. 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V IBUR SAVER Male I,• ' 1♦ March, 29, 1980 _ y _r,•j�- {r,. . y _ Amer 62 orll 10 1917 Weld r $ I County General Hospital mar. Rm Weld X;: lE. d n; .Colorado I1.°-T .., tv 1. r t" ` _ _ �. _ Ma rirl Helen Frank 1, I 3'C l -' 1 E Yee r ...._us • i ' t a 21-0 7 1557 Labeler so.cure. w~• 5. del Agriculture $ ,' IB • S'4 t.,•,-;,•••*;:-....,?, , C lorad Ne l�r_ ..o. in r eO ,y - ,..,'. _:._. -. _ MiIITk 805 J 40947 Rd. 52 � ' - �A t Fl� 1 .... No Peter Sad Mahe I Ce[Cman , S ;;,..,g.-,t1 , ,A+ir; I .. He len .,a_,r _Ni fe -.•109 7 Rd. 52 .. .. <, " „_ . . ._ ,.,, MI kn Colo ado 80543 �. 1#. sth i- p Burial „Apr,? 19i0 S s t Hem rl l Garde Gardens,_Greeley, Colorado °71 r 'Y ,I lit - �.a a-_,/ .,7)5 41i -,O � H rt u. rv,lnc 827 5th St Cr eley,CO 806)1 r {_A .I 4` r• t= Aaer 4TI t +�'q yY �,,: 3/ /4Bc� /)1FRew .7vl Yhc• M. �n v Ti P1 1 1. 54. d. rl I.1 n,nry ii.•r l+ C hu I.., ,- "n5 West;t 2dH. St., —..Greeley, CO A06)I -> € ?ti e al'& 9v.�-—.._ p�( '/ - Ce p;ty : --",--.." ------7 :April 1, 1980 .. 1 �,. 7 -A."Lek .a.z_ A 10 - k a4 214 t • rI is N-Ti .. _._ • • •- k i ' l,t 7, , 5. UYes Tes, { ti y -I1;4• ;- P• : 113 It." 1� - .'• iJiN �" I HEREBY CERTIFY THIS :;MINT IS A TRUE AND CORRECT COPY OF THE RECORD IN MY 1 I�-t CUSTODY AS REQUIRED BY LAW. iIf, . v,rn,t se .. .....� ..a n.. r $ai 5 .1:;v, y ,,., 7th A. _... May 1980 - t N., ray p fl p S era. v ey 1q °3— ri - - to sr+.t J .a.sr.iCI T...... .+ 2)8 *i r Chef le.- U.' JuewaT —_ 4. 11 1 4 e OF f`iHiM4 NT OF,HEALT.. _ yyY 4 %t £54 Ci PENALTY BY !A4 :I any pers.n alters, uses, attempts co use,orturnishes t I.: i to another for de,..cpcive use any vital statistics certificate. t : t :r lf�il .j t a > b t r.; _ "' {k ` ill as . e 8N r5 71'i 444.;;;;.$9•1,. ill!-!.1:A;•‘';-.-; 9 ) y t it),-Yeti!.P rYief - - r 1 - ' • { 1� 5'V • ..y •f • .. b 4' , as Ft 4E < , Hello