HomeMy WebLinkAbout880658.tiff - r
RESOLUTION
RE: APPROVE APPLICATION FOR PERMIT TO ERECT BUSINESS SIGNS TO THE
STATE DEPARTMENT OF HIGHWAYS AND AUTHORIZE CHAIRMAN TO SIGN
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 Hoard has been presented with an Application for
Permit to Erect Business Signs from Richard R. Irvine, dba Texaco
Refining & Marketing, to be submitted to the State Department of
Highways, and
WHEREAS, said Application must be approved by Weld County
before it is submitted to the State Department of Highways, and
WHEREAS, the Board deems it appropriate to approve the
Application for Permit to Erect Business Signs.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Application for
Permit to Erect Business Signs from Richard R. Irvine, dba Texaco
Refining & Marketing, to be submitted to the State Department of
Highways, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and
hereby is, authorized to sign said Application.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 18th day of
July, A.D. , 1988 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: WEL C NTY, COLORADO
Weld Count lerk and Recorder
and Clerk to the Board ene R. Brantne , Cha rman
^
BY: -_1 ""e` C.W. Kt,c_. m
Deputy County Clerk
APPROVED AS TO FORM: Ja••uel ', son CL, � G G' ,c: .
County Attorney
Frank Yamaguchi
eaoo /4 CSC- & 6 . 1. Noy - 880658
COLORADO DEPARTMENT OF HIM, ,AYS
APPLICATION FOR PERMIT TO ERECT BUSINESS SIGNS
I Applicant Name f t t Applicant Title
' ' Richard R. Tirvine„ 1 '' 'A Area Manager
Business Name .° : ' Business Phone
'{:Texaco Ref Laing,• :Marketing • . , ' 303-793-4181
•, Business Address . ' ^•^ "t Zip Code
' 4601 DTC Boulevard, Deaver, CO 80237
., Type,olBusiness •,,,,"
f e . t' - ti' —,."4•L' El Gas '#i ❑.;Food O Lodging ❑ Camping
-BUSINESS LOCATION DATA- '`4' "' ' `'
is ay. , fit'J y�� • •i k Interchange# 244 t, ,, '.,
Travel:distance from the Mtle ock the nearest tenth
nearest exit ramp terminal:" l•;.#! • 4.3.,',-^'� ��°` a,• � � =Direction:/ ❑ N '," ❑ S n' ❑ E '''' I3 W
Is the advertised activity or the on-premise in Yes Direction ❑ N ❑ S ❑ E OW
't signing visible from either exit ramp terminal? ❑ No
Application is for specific information sign in: O One direction of travel b Both directions of travel
The following criteria is required for each category(complete a separate application for each category).Please check
services available from your business.
Gas Food Lodging Camping
I5 Gasoline 0 Approved state license 0 Approved state license 0 Approved state license
a Oil 0 Three meals per day 0 Private entrance 0 20 spaces
0 Tire repair 0 Seven days operation 0 Automobile parking 0 Public telephone
Public restrooms 0 Dinner served daily 0 Public telephone 0 Drinking water
21 Drinking water I 0 Public telephone ❑ Flush toilets
iff Public telephone 0 Disposal system
List appropriate state license number(s): Issuance date
•
(OPERATION DETAILS
Months of ° noontha
Days of operation t] Sun-4, i Mon Cf Tues 13 Wed
S rin � rs Fri, Q Sat
f9 Thurs' t
Business hours: Spring '• ^'. Fall 24 ax
• k Summer 24 24
Winter •
Camping only: The Department shall remove or mask PHOTO
business signs during the off season
Business closed from to
* Applicant must obtain City/County approval;
! O Approved O Disapproved
Local government official: (responsible for control of signs)
H/A
Signature
Title
APPLICANT'S CERTIFICATION (Retain white copy for your records)
I declare under penalty of perjury in the second degree,and any other applicable state or federal laws,that the statements made on this document
are true and complete to the best of my knowledge. I will inform the Department of any changes to the above Information that may affect the
availability of the service provided.I will not discriminate or deny services or public accommodations based upon race,religion,color or national
origin which is prohibited by law.I understand that falsification of the foregoing statements will result in the denial or revocation of this application
and removal of any business sign In addition to any other penalty provided by law.
Applicant's furs ;: t Date air
;OFFICE USE ONLY •
I .
O Approved i,•. O Depled, w"
Comments . Mainline No. Ramp No.
( Northbound
touthbound
boun
Ettelb tied per- .. _
• Westbound ,.
District Signature I Date Dat Received by—
y CDOH
1-2 9-;S
CDOH Form
Distribution: While-Applicant 88 658
Pink-District 11/87
COLORADO DEPARTMENT OF HUGE tYS
APPLICATION FOR PERMIT TO ERECT BUSINESS SIGNS
Applicant Name
Applicant Title
Business Name Business Phone
Business Address I Zip Code
Type of Business
O Gas O Food O Lodging O Camping
BUSINESS LOCATION DATA
Highway# Interchange ft
Travel distance from the Miles (to the nearest tenth) -
nearest exit ramp terminal: Direction: ❑ N ❑ S ❑ E ❑ W
Is the advertised activity or the on-premise O Yes Direction ❑ N ❑ S ❑ E O W
signing visible from either exit ramp terminal? O No
Application is for specific information sign in: O One direction of travel O Both directions of travel
The following criteria is required for each category(complete a separate application for each category). Please check
services available from your business.
Gas Food Lodging Camping
❑ Gasoline 0 Approved state license 0 Approved state license 0 Approved state license
❑ Oil 0 Three meals per day 0 Private entrance O 20 spaces
❑ Tire repair ❑ Seven days operation 0 Automobile parking 0 Publictelephone
❑ Public restrooms ❑ Dinner served daily 0 Public telephone 0 Drinking water
❑ Drinking water 0 Public telephone 0 Flush toilets
❑ Public telephone 0 Disposal system
List appropriate state license number(s): Issuance date
OPERATION DETAILS
Months of operation
Days of operation O Sun O Mon ❑ Tues O Wed
O Thurs O Fri O Sat
Business hours: Spring Fall
Summer Winter
Camping only: The Department shall remove or mask PHOTO
business signs during the off season
Business closed from to
Applicant must obtain City County pproval:
❑ Approved O Disapproved
Local governme icial: (respon tie for c ntrol of signs)
Signature
Title X Chairman, Board of County Commissioners
•
APPLICANT'S CERTIFICATION (Retain white copy for your records)
I declare under penalty of perjury in the second degree,and any other applicable state or federal laws,that the statements made on this document
are true and complete to the best of my knowledge. I will inform the Department of any changes to the above information that may affect the
availability of the service provided. I will not discriminate or deny services or public accommodations based upon race,religion,color or national
origin which is prohibited by law.I understand that falsification of the foregoing statements will result In the denial or revocation of this application
and removal of any business sign in addition to any other penalty provided by law.
Applicant's Signature Date
OFFICE USE ONLY
O Approved O Denied
Comments Mainline No. Ramp No.
Northbound
Southbound
Eastbound
Westbound
District Signature Date Date Received by CDOH
Distribution: White-Applicant CDOH Form#935
Pink-District ^ 11/87
P
Green-Staff ROW CIIIC rfn
Hello