HomeMy WebLinkAbout990922.tiff WELD COUNTY DEPARTMENT OF PLANNING SERVICES
1400 N. 17th Avenue, Greeley, Colorado 80631, Phone: (970) 353-6100, Ext. 3540, Fax: (790) 352-6312
MOBILE HOME ZONING PERMIT APPLICATION
1Difte all items on b th pages_ Mark ho -s where applicable
�L APPLICANT DID / �C,Q(�? E�I4 PHONE to-13 ,3?7
ADDRESS/CITY/STATE/ZIP CODE 243 ,35 W& 476REary ebe cp0G_^
OWNER T 504/ 4IV6tI(- tkw_t4/ PHONE v
ADDRESS/CITY/STATE/ZIP CODE 2.3C6002 €'17 6REFLjt4 CCU 9)00/
CITY-STATE-ZIP
LEGAL DESCRIPTION -Magi ML$ection z,s , T ,5 N, R cc W. Total Acreage 74
PARCEL IDENTIFICATION NUMBERO?C/ZtOOO4O Q?Q25000G36
S230 00
STAFF REVIEW
Check type of application
❑ Temporary Use During Construction of a Residence
❑ Temporary Storage
BOARD OF COUNTY COMMISSIONERS APPROVAL/ADMINISTRATIVE REVIEW
Check type of application
❑ Use Beyond 18 months During Construction of a Residence
o Extension Beyond 6 months for Temporary Storage
o More than one MH as Accessory to Farm
❑ More than one MH as Accessory Use as an Office
o More than one MH as Accessory Use in C (Commercial) or I (Industrial) zone district
o Temporary Use during Medical Hardship
o Principal Dwelling
TYPE OF SEWAGE DISPOSAL TYPE OF WATER SUPPLY ��)
❑ Public or private company X.Public or private company:CW Uv b
Septic Tank- Permit# ❑ Individual (well, cistern) Permit#
Copy attached: Yes ❑ No O Copy attached: Yes ❑ No o
ACCESS: X-Existing o Proposed
What housing is available on the property and what is its present use?
How many mobile homes are on the property at the present time?
ti ( 9 /03/17
Appli nt/Owners Signature- Date
990922
MOBILE HOME PETITION
Do not sign this petition unless you are an "owner" of real property within 500 feet of the property which the mobile
home is proposed to be located on. An owner is a person holding fee title to real property. You are an "owner if
you hold a contract to purchase real property which obligates you to pay general taxes on that property. In this
instance, the seller may not sign this petition.
We, the undersigned owners of property within 500 feet of the property which the mobile home is proposed to be
located on, do not object to the issuance of a zoning permit for a mobile home to be used as a
Please do not sign Mr. and Mrs. -sign individually. Please do not sign this unless you have read all of the text.
Signature Mailing Address Telephone Number Date of Signing
/17 , '� .;?3v(/) Dier Lj G 7 i C7- 6Z/ Of 7 2
_A C2-,(1-54 • •. (c L l GL ;`�
t; y /2e 3'5 Y/23 ? y dry
#.72670 A/(P,c4,l6 970 X37'S�j -Z— —77
Circulator's Signature
7
FROM : L.JOHNSON FARMS PHONE NO. : 970 330 5704 Rpr. 12 1999 09:35RM P1
Agri ef,,i-erceetri
rN
o.112.. hi aDavti.G ale
e Ewing, JILeL., !P.C.
General Neurology
Electromyography - Electrophysiollogy
Electroencephalography
1800 15th Street, Suite 130 Greeley, CO 8063I
970-356-3876 phone
970-353-8810 fax
February 19, 1999
Re: LeRoy Johnson
To Whom It May Concern:
LeRoy Johnson is currently under my care for ongoing difficulty with Parkinson's disease. The patient
is physically incapable of performing sustained activity. He is able to direct and supervise activity. It
is necessary that he have help to work his farm because he cannot do so alone.
If I can provide any further information, please do not hesitate to contact me.
Sincerely,
David L. Ewing, .D.GU��
kd
04/12/99 09:33 TX/RX NO.5320 P.001 ■
FROM : L.JOHNSON FARMS PHONE NO. : 970 330 6704 Apr. 12 1999 09:36AM P2
•
REPORT FOR OlSA13tt_tTY tMSURANCE PURPOSES OF TREATMENT rArtr if
IN A HOSPITAL OR FROM AN ATTENDING PHYSICIAN
PART II of this application should be completed by the appropriate hospital official or by the veteran's attending
physician. If appropriate hospital summaries are available, please forward with application.
2. INSURANCE FILE HUMMER rinelwde leave prefrwl
1. FIRST. MIDDLE. I-ACT NAME op INSURED !Thor or Trim)
1-1 AC
ROW t-t2.0 .moo 4. K' FV 15a 5L175
FOR V► USE LY
9. HOME AD33RggSS INnTlbeemdelrNrarural route,rfryWP.O..Sant and SIP Cask) � LlAtM NVMeaP,251 4 6. SDI_( LSE UNITY MB
GPI i (-)u� -N6r � e . — — q
i 6. HISTORY (Conditions causing disability)
A. WHEN DID INJURY OR ILLNESS BEGIN? 'B. OAfT INSURED STOPPED WORKING BECAUSE OF DISABILITY
t/90 _ _ —�. .
C. DATE OF FIRST TREATMENT V I D. FREDUENCY AND NATURE OF TREATMENT /Iyp rJAI Lr4-Cbqt_
03121910 N'/ae%4° 10141/9e) te' 4//1-19,? 6.Go ec a./6rL9s-,c5•
E. OBJECTIVE SYMPTOMS AND FINDINGS WHEN FI ST SEEN I DIAGNOSIS, INCcuDE RESULTS OF SPECI IES
(hA4GULAa 314eLLSe1e &art•' cYES 1 I 5 P.1 scC JD G- cu ..A2 .A ccrl=tt/v7Sv Ylr1J
H7. HOSPITALIZATION __. y
F
DATE NAME AND ADDRESS OF HOSPITAL CONDITION AT DISCHARGE
PROM I TO -
_ S. PROGNOSIS
A. OATH OF LAST EXAM OR B. OBJECTIVE FINDINGS
TREATMENT
aLryr CJd.tr''=-rx v,&tc JT <- A-Currey ii E., vaJ
Cf..- aimed
r Lc. city macuLASE scot
/i19jS]` i RE /1ltcuL.4 eLevtRa rrerrorc✓uv4trc —
D. IS VETERAN CAPASLiE OF DOING ALL OF
C. DIAGNOSIS CONDITIONS CAUSING DISASR_ITY HIS/HER WORKT
OYES ONO
I. IS VETERAN CAPAaUE OF DOING ANY OT1fl
WORK?
/A P.C.Lt L P.a. DI t-lrL?-1 c`di?T 7:OA) .
O YES ❑NO
F. CARDIAC CONDITION Merck ijnppICa31c1
OAHA FUNCTIONAL CAPACITY - CL I INC LIMITATIONS O AHA FUNCTIONAL CAPACITY - CL 3 (MARKED LIMITATION)
0 AHA FUNCTIONAL CAPACITY • CL 2 (SLIGHT MOTION O AHA FUNCTIONAL. CAPACITY - CI. a (COMPLETE LIMITATIONI
'IL MLfryrµlrtERVOUs IMpAIPr Gallo'to in lalW
t Wotan Am or:ors and estate In 1H. SINCE FIRST TREATMENT - HAS VETERAN
;attentions!rerallone)(Cheth if eppitraale) REMAINED
O MODERATG O MARTA O�T SEMITE D IMPROVED J WORSENED Q THE SAME
�L NO SLIGHT LIMITATtpN 1_1 L.IM ITATION
• LIMITATION OM hTT I P LIMITATION
. N AND AWRa $ OF ATTEI 0 Ht3SPITAL
PAUL C.CWETZIG M.D.
Colorado Springs Exe CEnic.PC.
- .I.. c_ A�1 . SI LJRE AND TITLE OF N AR P
10. OATS OF REPORT -Colorado Springs. CO DL/YW G
Tl 33 4'> - t d Vewr+na A[isica (P ur+nct Records are
urnl this claim form I %MEDIA • to I **Moe of am Whee final.teed and adds-cane
records are:
main:ait1e11.The edDepart of the Department M Veterans Affairs atlas teat mains Department of Veterans Affairs
Department of Veterans Affairs Regional Office and Insurance Center• Regional Office and Insurance Center (VJP1 Federal Swirling. Fort Snelling
P.O. Sex 7208 St. ParaL MN 551 I1
Philadelphia, PA 19101
'UB.GeMrM1IemK PIL'aP'a daka: had-901.]WMRM
04/12/99 09:33 TX/RX NO.5320 P.002 E
FROM : L. JOHNSON FARMS PHONE NO. : 970 330 5704 Apr. 07 1999 09: 17AM P1
L. JOHNSON FARMS
25938 WCR 47 970-339-9397
GREELEY, CO 80631 FAX: 970-330-7604
April 6, 1999
DEPARTMENT OF PLANNING SERVICES
ATTN: SHERI LOCKMAN
FAX: 970-352-6312
Re: Recorded Exemption
Pt. N/2 25-05-65
Dear Sheri Lockman_
At our last meeting I submitted two statements. One from Dr. Ewing confirming that I am
suffering from Parkinson's Disease and one from Dr. Weitz stating that I am legally blind
with Macular Degeneration. Concerning.Dr. Ewing's letter, I have requested that he
reword the letter:, however, he has not responded to my request. Please reconsider the
original letter. He stated I need help with my farming operation, which is true; however,
my health problems do not stop when I leave the-field. There are many times when I. am in
need of help during other activities. Being blind with only peripheral vision I am not able
to read or drive_ This makes me dependent on others for help_ As stated in previous
letters Jason and Angela Ervin provide help when needed for personal assistance, besides
Jason being employed. As an added benefit their presence provides security.
Please let us know what else we can provide to complete our request.
Regards®
477 01414-A14--
04/07/99 09:15 TX/RX N0.5253 P.00 [
FROM : L.JOHNSON FARMS PHONE NO. : 970 330 6704 Jan. 01 1999 06:24PM P1
L. JOHNSON FARMS
25938 WCR 47 970-339-9:397
GREELEY, CO 80631 FAX: 970-330-7604
December 30, 1998
Employment Agreement
Jason Ervin, 25800 Weld County Road 47, Greeley, Co,resides in the accessory to
farm residence on our property,Pt NW 1/4 of Section 25, Township 5 North,Range 65
West of the 6th P.M. Weld County, Colorado
Jason Ervin, as stated in our last correspondence of December 15th , has the respon-
sibilities as an employee to provide security to the premises, particularly the onion ware-
houses. Rural thief has been on the rise. We recently had a number of power tools stolen
from our maintenance shop. He has been monitoring the air ventilitation systems and heat
tempatures in our absence. However, due to LeRoy Johnsons age and the onset of Park-
insons disease,he is being trained to assume more responsibilities for monitoring the air
systems and heat requirements in the onion warehouses due to the fluctuating tempatures
and weather conditions. As mentioned before he shares duties of loading trucks and helps
make deliveries. His duties at the National Guard do not require him to be away from his
home for any extended periods of time. His time with L. Johnson Farms is varied due to
customer r
GY
LeRoy Johnson
FROM : DESIGN DEVELOPMENT PHONE NO. : 970 282 7123 Nov. 20 1998 10:36RM P2
L. JOHNSON FARMS
25938 WCA 47 970-339-9397
GREELEY,CO 80631 FAX: 970-330-7604
December 15„ 1997
Employment ASreement
Jason Ervin,25800 Weld County Road 47,Greeley,CO,resides in the accessory to
liar=residence on our property,Pt NW 1/4 of Section 25,Township 5 North, Range 65
West of the 6th P.M.Weld County,Colorado.
Jason Ervin's,Staff Sergeant with the 137th SWS Colorado Air National Guard,pr msEry
civilian job is with L. Johnson Farms, He has the responsibilities as an employee to
provide security to the premises,particularly the onion shed. Do the monitoring of the
verttilitation systems in our absense. He shares duties of loading through-bound semi-
trucks during off hours. He also saves as an extra driver malting local deliveries.
LeRoy Johnson Ervin
11/20/98 10:37 TX/RX NO.3475 P.002
FROM : DESIGN DEVELOPMENT PHONE NO. : 970 282 7123 Oct. 28 1998 09:20RM P2
L. JOHNSON FARMS
25938 WCR 47 970-339-9397
GRE,ELEY, CO 80631 FAX 970-330-7604
December 15, 1997
Employment Agrccnreut
Jason Ervin, 25800 Weld County Road 47, Greeley, CO,resides in the accessory to
farm residence on our property, Pt NW 1/4 of Section 25, Township 5 North, Range 65
West of the 6th P . Weld County, Colorado.
Jason Ervin has the responsiblilites as an employee of L.Johnson Farms to provide
security to the premises, particularly the onion shed. Do the monitoring of the vent-
ilation systems in our absense. He shares duties of loading through-bound semi trucks
during off hours. He also serves as an extra driver making local deliveries.
LeRoy Johnson Jason Ervin
10/28/98 08:20 TX/RX NO.3029 P.002 In
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