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Home My WebLink About20243414.tiffRESOLUTION RE: APPROVE VACATION, VAC24-0025, OF AMENDED RECORDED EXEMPTION, AMRE-3878 - JACKSON FAMILY REVOCABLE TRUST, C/O JUSTIN AND BOBBIE JACKSON 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, on October 4, 2024, the Department of Planning Services approved Amended Recorded Exemption, AMRE-3878, to remove a building envelope, resulting in an unplatted parcel of 130 acres, more or less, and WHEREAS, said property is located in part of the NW1/4 of Section 33, Township 2 North, Range 64 West of the 6th P.M., Weld County, Colorado, and WHEREAS, the Board has received a request from Jackson Family Revocable Trust, c/o Justin and Bobbie Jackson, 6570 County Road 53, Keenesburg, Colorado 80643, to vacate said Amended Recorded Exemption, AMRE-3878, which Plat was recorded October 10, 2024, at Reception #4987518 in the records of the Weld County Clerk and Recorder, and WHEREAS, the Board of County Commissioners heard all of the testimony and statements of those present, studied the request of the applicant and the recommendations of the Department of Planning Services staff and all of the exhibits and evidence presented in this matter and, having been fully informed, deems it advisable to approve said vacation, and WHEREAS, any persons owning dedicated and recorded easements and rights -of -way crossing the parcel to be vacated, if any, may continue such use after formal vacation by Weld County. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Amended Recorded Exemption, AMRE-3878, be, and hereby is, vacated. BE IT FURTHER RESOLVED by the Board that any persons owning dedicated and recorded easements and rights -of -way crossing the parcel to be vacated, if any, shall not be affected by this vacation authorized herein, unless reflected differently on the recorded vacation plat. 5007959 Pages: 1 of 2 01/28/2025 10:17 AM R Fee:$0.00 Carly Koppel, Clerk and Recorder, Weld County , CO rochilvrIt'Immilul! l!AMY� tlII Cc : PL(OE/MN/1.o), t 5R(se), APPL. °2/I o/25 2024-3414 AMRE-3878 VACATION, VAC24-0025, OF AMENDED RECORDED EXEMPTION, AMRE-3878 - JACKSON FAMILY REVOCABLE TRUST, C/O JUSTIN AND BOBBIE JACKSON PAGE 2 BE IT FURTHER RESOLVED by the Board that the Clerk to the Board be, and hereby is, directed to record this Resolution in the records of the Weld County Clerk and Recorder. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of December, A.D., 2024. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Clerk to the Board BYC . 1.tiCh Deputy Clerk to the Board ED County A orney 1/, Date of signature: 17 l ZS 5007959 Pages: 2 of 2 01/28/2025 10:17 AM R Fee:$0.00 Carly Koppel, Clerk and Recorder, Weld Gounty CO VIII I�I�.rNf NvJ �I '4 Lti l {jl��'rKti�Kl��J cad i II WELD COUNTY, Ross, Chair erry L. Bup, Pro-Tem Mike Freeman Scott K. James aine 2024-3414 AMRE-3878 DEPARTMENT OF PLANNING SERVICES MEMORANDUM - To: Weld County Board of County Commissioners From: Lindsay Oliver, Planner Subject: Complete Vacation of Amended RE -3878 Hearing Date: December 30, 2024 Owners: Jackson Family Revocable Trust, do Justin and Bobbie Jackson Legal Description: Lot D of Amended Recorded Exemption RE -3878; being a part of the NW4 of Section 33, T2N, R64W of the 6th P.M., Weld County, CO Location: South and adjacent to County Road 16; east and adjacent to County Road 53. Parcel Number: 1305-33-2-00-018 Total Parcel Size: +1- 130.73 acres Zone District A (Agricultural) Summary: The applicant requests to vacate Lot D of Amended Recorded Exemption RE -3878, recorded October 10, 2024, reception #4987518. This amended plat was recorded to remove a building envelope. This complete vacation of Amended RE -3878 would result in an approximately 130 acre unplatted parcel. Vacation Criteria: The Vacation of a Recorded Exemption plat criteria are detailed in Chapter 24, Article XI of the Weld County Code, being the Obsolete Land Divisions Article within the Weld County Subdivision Ordinance. Section 24-11-10. A of the Weld County Code, states in part: "Previously approved Recorded Exemptions and Subdivision Exemptions may be amended, corrected, or vacated." Section 24-11-50 of the Weld County Code, provides specific criteria for the vacation process. The processing of this vacation and memorandum have been prepared in accordance with this Code section. Section 24-11-50. A of the Weld County Code details the items to be submitted by the property owners in order to request a complete or partial vacation of an exemption. The submitted materials were deemed complete and include the vacation request letter and the draft vacation plat map. Section 24-11-50. B of the Weld County Code allows for partial vacations, which may be used to vacate the largest lot within a Recorded Exemption plat, which is greater than thirty-five (35) acres in size, without affecting the remaining lot(s) within the same plat. The submitted vacation request complies with this code section. 2024-3414 Vacation of Lot D of Amended RE -3878 I Jackson Page 1 of 2 Am -0-311Y Recommendation: The Department of Planning Services staff has reviewed this request and recommends that this request be approved by the Board of County Commissioners subject to the following condition. A. If the vacation request is approved by the Board of County Commissioners, the vacation plat shall be submitted to the Department of Planning Services for review in accordance with Sections 24- 11-50.H and I of the Weld County Code. Upon acceptance of the plat, the plat shall be signed by the property owners and shall be submitted for recording with the recording fee to the Department of Planning Services. The vacation is in effect the date of recordation of the land survey plat with the Weld County Clerk and Recorder. Vacation of Lot D of Amended RE -3878 I Jackson Page 2 of 2 To Whom it May Concern, I/We (Name of Property Owmer) are writing to request the (complete / partial) vacation of Lot _ (Circle one) (Insert Lot Designation) Recorded Exemption g Insert Recorded Exemption number) of t �r1 fl is I�, E )C4� _gin )O ► a4 r �� c 1. n � � I � Print: Q3ner or Authorized nt Date Prjut: Q}e or Authojzed Agent Date Signay e: Owner or Authd Agent Signature: Owner or Authorized Agent 01/24 5 VACATION PLAT FOR LOT D, RE -3878 Located in the Northwest 1 4 of Section 33, Township 2 North, Range 64 est of the 6th P. M., County of Weld, State of Colorado Sheet 1 of �ww im. I' El; l; ee.l u 1 iiEn °I; VICINITY MAP: V' = 2000' PROPERTY DESCRIPTION BEFORE VACATION xECOmIED rkLPN°N NO - H -b7& ACC°xoeW ro MNIEur �n o or zoo+ Ar Ntc 1, xo �� u mwnvm z xam"x;''namw'E a wari°"or �mE arwvm. sac or <anvao PROPERTY DESCRIPTION AFTER VACATION E aOeMNE5r ,yor `azmer. R N°eM. ig10e5. of M elx unarm, Y � . SraC Oi Co 06CMem Ae OWNER'S CERTIFICATE �wm o'w °F01a�aG�ac o� n TMcR°w nsox Fnar aLwueiE mcx � mrFn ecs c: or - i a ur cauusvox ErmEs .1E. w. xw0 BOARD OF COUNTY COMMISSIONER'S CERTIFICATE r m ur. re ; Z rxE eoaro or coumm caAVN�awns ur wxo xa rxE zru ar r.E coumm rws_, a. eve eurx m nc e0.n0 art SURVEYOR'S STATEMENT o"o oboN°iidre+"a °rr is rc wv.Er °AEre im°xev ms rsu"m�wRs umE uxem uxEw wr�N�. crr m iw.i"x¢ rwx�tv'aro�'rw""s vur PEPRtgxlAeTWlE eav°a xEaetMh �r°xn°°Sm°f651°xK° �LNGHF�Fu�uq °r C0rao1°"rEi'°°eEirvi uw wExEraxs. Axo xno wYmm uia"`raµcA°n x�rsr�°w"r'm NOTES LEGEND: 4 - raro ■ - roue eie• xmw wn« i �i.- runic w. ru zeen m • ovwe xau, As xort0 GRAPHIC SCALE 200 400 600 E �mvr�ith �ed IandSurveying Co. Is. fir, a Eori � n�iosw-len rse-rsone � .m.r.. I OPAW ev: Wx I [KtlSD er. v.x 1 DnE aciosa e�. 2W El- ASCAtt AS 10 VICINITY MAP: 1 = 2000' Pazrwni wwu a6-, tw,wnSul GRAPHIC SCALE 1"-200' 200 oo 600 AMENDED RECORDED EXEMPTION NO. RE -3878 Located in the Northwest 1/4 of Section 33, Township 2 North, Range 64 West of the 6th P.M., County of Weld, State of Colorado O. IAA SA 10 IAA AAA Sheet 1 of 1 x LEGEND: m -a /r+ss NOTES: ,o.«r PexsD� p�xDw,xD,. mx� E�� K xu,� w�s�os50cmk.s��rs w cuss rVN°xo Uzi cory onoiss°s"6�u"w o�w rtE'cw axcixoossii'or rl rcmxDixc Oiowca Eowmmuw rw n DcowDcutt �zn 1[cu u.luxs wgD urox E.wr1tl"N saes iwxsbio,'�i�� cxE �' zimrnnoE i%EnEaE. w D.s. suxn Eoor is omxm ws suncr 1xa� `s".tiExs. '� ,,DEN N Ex 2.,01,".1.1., . .WME01 i,7 We�ECi vn0>Emr. PROPERTY DESCRIPTION e°"PwscIro wmxs'iirtmwax`s"cta'"�naig xxDEo.:7DESHE OWNER'S ,� CERTIFICATE an"�° aN ax "*Eo °er" Mis Wi* Em oTMwE oLotiem'wo me rzE .„7336 D,��'P�'�x^/i� ah �ko o':j o aa�L xE DEC. �o aala�a� DEPARTMENT OF PUNNING SERVICES — ADMINISTRATIVE REVIEW CERTIFICATE OF APPROVAL oil�wiuosER.¢ss row s. rus—l+h D•rpoEGOGfsb[i rcxow�mc—_— A.o.. zo21_. srn aD�QI� ss ACT., ACC� �IxEG W5/ae __ 'miter fs ITr wND H10 3FK SURVEYOR'S STATEMENT reed � d�� V6ylAQ CO. ro w m, blynbn, N eoeoAi • P.IW-0.M �13]E f]OLM!-OSn • mwrX•wan xao' I Denx er. cox I atom er. xEm I wrt: sEnL1m n. xo:. i0e xD x•-xei I Notice Pursuant to Section 24-11-50.1.1 of the Weld County Code, the following matter will be considered on the Consent Agenda of the Weld County Board of Commissioners and no public testimony shall be heard unless it is removed from the Consent Agenda and placed on the regular Agenda by action of the Board, with said public hearing to be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the date and time specified below. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4225, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. Email messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your email correspondence into the case file, please send a copy to egesick@weld.gov. Hearing Date: December 30, 2024 Hearing Time: 9:00 a.m. Applicant: Jackson Family Revocable Trust c/o Justin and Bobbie Jackson 6570 County Road 53 Keenesburg, Colorado 80643 Request: Vacation, VAC24-0025, of Amended Recorded Exemption, AMRE-3878 Legal Description: Lot D of Amended Recorded Exemption, AMRE-3878; being part of the NW1/4 of Section 33, Township 2 North, Range 64 West of the 6th P.M., Weld County, Colorado Location: South of and adjacent to County Road 16; east of and adjacent to County Road 53 (see Legal Description for precise location) Board of County Commissioners Weld County, Colorado Dated: December 18, 2024 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 12/11/2024 2:30:52 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. ___,),Ct,14. LONA l.d1C1 I Z I I, I 'z4 Signature Date Property Owners Within 500 Feet of Parcel # 130533200018 Account Parcel Owner Mailing Address R5122186 130528000030 DEFEE DEWAYNE R5122186 130528000030 DEFEE CONNIE RAE 26383 COUNTY ROAD 16 KEENESBURG, CO 806439507 R5036208 130528300011 SMIALEK LYNDA A R5036208 130528300011 SMIALEK LYLE BYRON 41994 COUNTY ROAD 4 ROGGEN, CO 806528408 R8962780 130528300036 SMIALEK ASHLEY NICHOLE R8962780 130528300036 SMIALEK MAX DOUGLAS 26315 COUNTY ROAD 16 KEENESBURG, CO 806439507 R8962781 130528300037 SMIALEK LYNDA A R8962781 130528300037 SMIALEK LYLE BYRON 41994 COUNTY ROAD 4 ROGGEN, CO 806528408 R5124986 130532000008 COLORADO - GAME FISH & PARKS COMMISSION 6060 BROADWAY DENVER, CO 802161029 Parcels: 19 Owner Records: 26 Page 1 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 12/11/2024 2:30:52 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. (AIR OCUI IA-TtjC 17.1 1, I Z Signature Date Property Owners Within 500 Feet of Parcel # 130533200018 Account Parcel Owner Mailing Address R5125086 130532000009 LAND 5 INVESTMENTS LLC 12501 RIVERDALE RD BRIGHTON, CO 806028161 R8532999 130533000017 HOBBS J FRANK 6494 COUNTY ROAD 53 KEENESBURG, CO 806439443 R8843500 130533000021 PERRY BRIAN L PO BOX 561 KEENESBURG, CO 806430561 R8843200 130533000022 ENRIQUES-ACERO LEONOR ADRIANA 26084 COUNTY ROAD 16 KEENESBURG, CO 806439506 R8843300 130533000023 ROBLES LETICIA 5145 E 138TH AVE THORNTON, CO 806027864 R3641405 130533100024 MURPHY KIM K 168 TIMBER DR BLACK HAWK, CO 804228734 R3641505 130533100025 FARLEY STEVEN 2007 S KINGSTON CT AURORA, CO 800141038 R3301005 130533200013 Lt1- P- BELTRAN NOEL PO BOX 646 HUDSON, CO 806420646 R3301105 130533200014 ��tTl SMITH REBECCA Parcels: 19 Owner Records: 26 Page 2 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 12/11/2024 2:30:52 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. C1t0ctA udL I `21 is .Z. / Signature Date Property Owners Within 500 Feet of Parcel # 130533200018 Account Parcel Owner Mailing Address R3301105 130533200014 WOOD KAREN R3301105 130533200014 Lb+ SMITH JUSTIN 26498 COUNTY ROAD 16 KEENESBURG, CO 806439506 R3301205 130533200015 ^u O - V GRISWOLD TIMOTHY ALLEN 26490 COUNTY ROAD 16 KEENESBURG, CO 806439506 R8988903 130533200018 L&-'LAA-D JACKSON FAMILY REVOCABLE TRUST 6570 COUNTY ROAD 53 KEENESBURG, CO 806439443 R4260706 130533300026 HEIDEMAN JOAN R4260706 130533300026 HEIDEMAN DAN 855 S 5TH AVE BRIGHTON, CO 806013226 M0003001 130533300028 HOBBS J FRANK 6494 COUNTY ROAD 53 KEENESBURG, CO 806439443 R4260906 130533300028 HOBBS J FRANK 6494 COUNTY ROAD 53 KEENESBURG, CO 806439443 Parcels: 19 Owner Records: 26 Page 3 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 12/11/2024 2:30:52 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Ipcbti,orcL I till) 7,,q Signature Date Property Owners Within 500 Feet of Parcel # 130533200018 4Nii RSJA;L 76 fROtaw TAGF Pn _INTERSTATv R" lAlrfl I Pt 1,0 Parcels: 19 Owner Records: 26 Page 4 of 4 ADJACENT PROPERTY OWNERS FOR VACATION OF AMRE-3878 Owner NOEL BELTRAN REBECCA AND JUSTIN SMITH KAREN WOOD TIMOTHY GRISWOLD JACKSON FAMILY REVOCABLE TRUST Address PO BOX 646 26498 COUNTY ROAD 16 26490 COUNTY ROAD 16 6570 COUNTY ROAD 53 City HUDSON State CO KEENESBURG CO KEENESBURG CO KEENESBURG CO Zip 80642-0646 80643-9506 80643-9506 80643-9443 CERTIFICATE OF MAILING I hereby certify that I have placed a true and correct copy of the Notice, in accordance with the notification requirements of Weld County for Vacation of Amended Recorded Exemption, AMRE-3878, in the Unitec States Mail, postage prepaid First Class Mail as listed above. 0 SIB O i❑ ft! a N Dated the 18th day of December, 2024. 1,0a4 tatkic, Janet M. Warwick Deputy Clerk to the Board U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com . r: r Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) O Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) ❑ Certified Mail Restricted Delivery ❑ Adult Signature Required $ Adult Signature Restricted Delivery $ Postage Total Postage and Fees Sent To Street a City, S kirt, ci Betkajl °TB N° ItaLlte 8, IP+ sr 0 PS Form 3800 A • ril 2015 PSN 7530-02-000-9047 • Postmark Here z-oec4 See Reverse for Instructions COMPLETE THIS SECTION ON DELIVERY a) owl (D C L - U, Q) 13 < Q ❑❑ a)kt_ X Q t o0 de — TO') ro ,n acs c �. 1es .0 a) aa)) cc Q ❑❑ T . 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A not • Sent To -EtrecitodpAtti tiger -Ci a 6415 PS Form 3800, A • ril 2015 PSN 75;.0-02-000-9047 ..w C) 0 45 0 0 >- o O z ❑ ❑ a 0 • ,LT\ oPc tc 1. a Ct tzt ti i Postmark Here S't&43 -tea See Reverse for Instructions C .. ri E a C m O ��U N cr -;aim a ccccccenv)ac ❑❑❑ a) 0 -•E C3 tr)r) 1;- 2 ET? ®cc ?•_— qC =a)a)-- rts 1.4 ca a00 -ca cv c222cc�g� i75 co 6 4a 46 -- << ODUU ❑❑ ❑❑❑ c) CO CO I` CD O N O Cr) - - (0 N O O immaNS a U. a a N Er r� ru O N Domestic Return Receipt rn O 0 CO t` a. to T N r CO 0. LL a . N C O O >- Z a) ❑ o� U 6 U i O O O 0 E ›' Q) C O G cn -a • N O 13-aa) `Ca^aa. C W ) C L r ecSQ. 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Certified Mail Fee $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mail Restricted Delivery $ Ej Adult Signature Required $ • Adult Signature Restricted Delivery $ Postage Total Postage and Fees Sent Street and CI Postmark Here Swcdd Btaci 'Wife =a5a PS Form 3800, April 2015 PSN 7._;3U-02-000-9047 See Reverse for Instructions U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com`"' FFIC' I rt. Certified Mail Fee 003 Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) ❑ Certified Mail Restricted Delivery ▪ Adult Signature Required $ • Adult Signature Restricted Delivery $ Postage Total Postage and Fees Sent �I Streetan ititeS Postmark Here City, a. tel aftt ocatick R&ad59 ltithtut, D SD - 31*/a 0 Of I' :. N PS Form 3800. April 2015 PSN 7530-02-000-9047 See Reverse for Instructions 2 C in COMPLETE THIS SECTION ON DELIVERY to N bit) co I E 0 ,E 3 a� o E 2 • -0 _\ cts '6 cn >s� c D in ,>- a) a) .Q E c . 9-- O O Ct .n a) O 1 cv 0 cu 0 • a 2 C r- 2 C o u) ii Ito t Egi 4-0 CC L 9- gg'ta tu cc iiC ir c US 'Co cc 008 ODD D ❑❑ cc; u > -cis. o try i N a) .- >. �• O m w a) C` Er 8 a)mao�CC>> a� _ m 0 G) U 0 >>a'v CL re- ra Q) C CgaaC Ccl�O wr 121 loll 8=9 ci❑D ODD Domestic Return Receipt PS Form 3811, July 2015 PSN 7530-02-000-9053 Plat Vacation Application Recorded Exemptions & Subdivision Exemptions Planning Department Use: Amount $ Application Received By: _ Date Received: Case #Assigned: Planner Assigned: Plat Information Title of plat to be vacated: t/1 ei CU h a b 5 .; ❑ Complete Vacation (must include all lots)" 'Partial Vacation (vacated lots must be over 35 acres each) List of lots to be vacated: Lot Parcel Number Acrea e Affected Easements S T R (P4 )305 33 aoDD\' Property ner(s) (Attach additional sheets if necessary.) Name: '.Y Cr \ ,I ill i �� 1e\f, co LA E', 1 u Company: Phone#: 3C3 CtC A lii4 Email: lac YSsoh ra itc 11. G +l1G'�(1 cc rat Street Address: V J City/State/Zip Code: r`' f { 1 P S 1� I� t t_, r 1fr t, i- 3 Applicant/Authorized Agent (Authorization form Tust be included if there is an Authorized Agent.) Name: �[ '1 Y\ () i (?)0i -)101e/ Company: SR, YY1 E' Phone #: Email: Street Address: City/State/Zip Code: 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. Ail fee owners of the property must sign this application, or if an Authorized Agent signs, an Authorization Form signed by all fee owners must be included with the application. If the fee o er is a corporation, evidence must be included indicating the signatory has the legal authority to sign for the corporation. have read and agree /axe 'ptions. o comply with the regulations for complete or partial vacatio .f icorded exemptions or subdivision DI ID)),/ Da Sigature: a or Anzec_Igent Date i na ure: a er • A I' orized Agent k,t aka 16 r'1 Print Owner or Authorized Agent Print: Owner or Autho red Agent �. 01/24 3 CERTIFICATE OF TRUST 1. Trust Name. The Jackson Family Revocable Trust which was created by Agreement dated December 8, 2022 (referred to herein as the "Trust") is the subject of this Certificate. 2. Settlors. The Seniors of this Trust are Justin K. Jackson and Bobbie L. Jackson. 3. Currently Acting Trustees. The names of the current Trustees are as follows: Justin K. Jackson and Bobbie L. Jackson. 4. Power to Revoke. The Settlors have the power to revoke the Trust and to rodix or amend the Agreement. If the Trust is revoked, the Agreement provides that all property owned in the name of the Trust must be transferred to the Seniors as specified in the Agreement. 5. Taxpayer Identification Number. The taxpayer identification number for the trust is Justin K. Jackson's Social Security Number. 6. Trust In Effect. The Trust is currently in full force and effect. The Trust has not been revoked, and the Agreement has not been modified or amended in any manner that would cause the representations contained in this Certificate of Trust to be incorrect. 7. Powers of Trustee, The Trustees are authorized by the Agreement to sell, convey, pledge, mortgage, lease, or transfer title to any interest in real or personal property, without limitation. 8. Authorlly of Co -Trustees. If two Trustees are eligible to act on any given matter, they shall act unanimously, and if more than two Trustees are eligible to act on a given matter, they shall act by majority. The provisions of the Trust regarding the authority of Co - Trustees are fully set forth as Exhibit A. Co -Trustees may delegate their powers to other Co - Trustees eligible to act on a given matter at any time and while such delegation is in effect, the delegating Trustee shall have no responsibility concerning the exercise of the delegated power. 9. Title to Assets. Title to Trust assets shall be taken in the name of Justin K. Jackson and Bobbie L. Jackson as Trustees of the Jackson Family Revocable Trust dated December 8, 2022. 10. Hold Harmless. No person or entity paying money to or delivering property to any Trustee shall be required to see to its application. All persons relying on this Certificate of Trust regarding the Trustee and the Trustee's powers over the property of the Trust shall be held harmless for any resulting loss or liability from such reliance. 11. Third Party Reliance. Any third party to whom this Certificate is presented may rely upon an affidavit by the then serving Trustee stating that such Trustee is, in fact, the active Trustee for the Trust. No third party acting in reliance upon this Certificate or such affidavit shall be liable for any losses, damages, or claims caused by compliance with any action requested by the Trustee. 12. Vty of Copt Ec sf Tc:s Cep• x &ate. 3 copy of this Certificate of Trust shall be just as valid as the original. IN WITNESS WHEREOF, the undersigned, as Seniors and Trustees, have signed this Certificate of Trust, effective the day and year set forth below, and represent that the statements contained herein are true and correct and that there are no provisions in the Agreement or any amendment thereto that would limit the authority of the Trustees as described herein. Dated:, Dated: )&fr ll e- Dated: 1pe.CPn lof ' LGZZ Dated: December' ,'1OZZ utit,k\, Jt4 in K. Jackson, as I Bobbie L. Jackso for STATE OF COLORADO LARIMER COUNTY I HEREBY CERTIFY that on DeLemhe4' F'T7_cZZ, before me, the subscriber, a Notary Public in and for Weld County, Colorado, personally Justin K. Jackson, as Settlor and Trustee, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that the foregoing instrument was executed by Justin K. Jackson, as Settlor and Trustee, for the purposes therein contained. WITNESS my hand and notarial seal. Dated: embey' Si,2CZ'Z- lm�lI�Hs A idtrev' On,in*,1 Print Name of Notary My Commission Expires: STATE OF COLORADO LARIMER COUNTY I HEREBY CERTIFY that on Drs 2012. before me, the subscriber, Notary Public in and for Weld County, Colorado, personally appeared Bobbie L. Jackson, as Settler and Trustee, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that the foregoing instrument was executed by Bobbie L. Jackson, as Settlor and Trustee, for the purposes therein contained. WITNESS my hand and notarial seal. Dated: 1e1err)oe,r g,2AY22- 0 Notary Public Print Name of Notary My Commission Expires: 1O1ZCYzi Weld County Treasurer Statement of Taxes Due Account Number R3301305 Parcel 130533200016 Legal Description PT NW4 33-2-64 LOT D REC EXEMPT RE -33878 ( I.97R2D) 6570 COUNTY ROAD 53 WELD Sims Address Account: R3301305 JACKSON FAMILY REVOCABLE TRUST 24495 COUNTY ROAD 18 KEENESBURG, CO 80643-9641 Year Tax Charge 2023 03,039.48 S0.00 Interest Fees Total Tax Charge Grand -fond Due as of 10,2:2024 Payments Balance 50.00 (53,039.46) $0.00 5000 50.00 Tax Billed at 2023 Rates for Tax Area 2445 - 2445 Authority WELD COUNTY SCHOOL DIST RE.3J-KEENESBURG CENTRAL COLORADO WATER (CCW S. E. WELD FIRE AIMS JUNIOR COLLEGE HIGH PLAINS LIBRARY Taxes Billed 2023 SENIOR Net Taxes Billed for 2023 • Credit Levy Mill Levy 12.0240000' 16.7930000 0.8910000 10.3270000 6.336000) 3.1960000 Amount Values Actual Assessed 5817.83 AG -SPRINKLER $75,974 520,060 S1,142.20 IRRIGATED LAND $60.60 AG -DRY FARM LAND $2,663 $700 FARM:RANCH $599,753 $40.180 $702.41 RESIDENCE -IMPS 5430.96 OTHER BLDGS.- $40.750 510,760 AGRICULTURAL 5217.38 49.5670000 S3,371.38 ($331 92) $3,039.46 Total $719,140 $71,700 Weld County Treasurer's Office 1400 N 17° Avenue PO Box 458 Greeley, CO 80632 Phone: 970-400-3290 Pursuant to the Weld County Subdivision Ordinance, the attached Statement of Taxes Due issued by the Weld County Treasurer are evidence that as of this date, all current and prior year taxes related to this parcel have been paid in full. Signed: Date: `0 PD.2-q 4925118 10/10/2023 03:22 PM ,,,,q Total Pages: 2 Rec Fee: $1'8.00 C r -Carly Koppes - Clerk atnd,liecorder, Weld Coup(, CC WARRANTY DEED o THIS,iD`EED is dated September [ , 2023 and is- between Justin Jackson, the "Grant9e(whether one, or more hnn one), and the Jackson Family Revocable Tnist u/t/a dated Decker 8, 2022, the "Gratssed " whose legal address is 24495 County Road, l'8, Keenesburg, Cejprado 80643. c,. f`r Z, ' WITNESS, that/ be Grantor, for and us; consideration of the sgm of TEN DOLLARS-12, ^'l: ($10.00), the recei and sufficiency of whie t is hereby acknowle 'hereby grants, barge. sells, conveys aYconfirms unto the Grantee and the Grantee's )tom and assigns forever,,atthe real property' together with any improvements thereon, locatediii the County of Weld and State of Colors& described as follows:'-` s • LOT D OF RECORDED EXEMPTION NO. 1,305 -33 -2 -RE 3878, ACCORDING TO ,,c�2 THE MAP RECORDED OCTOBER 29, -2004 AT RECEPTIQI "-NO. 3231580, BEING A PART` OF THE NORTHWEST 1/4 OF SECTION „33, TOWNSHIP 2 `" NORTH, RANGE 64 WEST OF Tilt SIXTH PRINCIPAL MVRIDIAN, COUNTYA' OF WELD, STATE OF COLORADO s TOGETHER WITH all wars (derived by the inclutlon of certain lands now-within) rom) the Henrylyn Irrigation District aidlcnown by street address.=as: 6570 County Road -53, Keenesburg, Colorado -80643. TOGETHER with all and singular the hereditaments and ?eppurtenances thereunt$ belonging, or its anywise appertaining, he 'reversions, remainder, `rents, issues and p is thereof, and all•the estate, right, title,- interest, claim and dernaisd whatsoever of the Grantor, either in law or equity, of, in and ktljthe above bargained premises, with the heredients and appurtenances; , Q -TO HAVE AND TO .,HOLD the said premises :above bargained and ,deriCribed, with the iairfiurtertances, unto the Grantee and the Grantee's heirs and assigns forever; The Grantor, for himself and his succears, does covenant, gram, bargain, and agree toil with the Grante, and the Grantee's beds' and assigns: that at,the' time of the ensealing -13nd delivery of these presents, the Grantor is welt seized of the premises above described; has good, sure, perfect, absolute and indefeasible estate of inheritance, in law and in fee simple; and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and. form as aforesaid; and that the same are free and clear from all former'and other grants, *gains, sales, liens, taxes,. assessments, encumltra ices and restrictions -whatever kind or . nature soever, except,and subject to the Statatitst E'xcevtions. And the Grantor shall and will WARRANT THE TITLE: AND DEFEND the ve described premises, but not any acc1ointng vacated street or alley, if any, in the gpieC'and peaceable possession of the Grantee and the heirs and assigns of the Grantee, agai isf all and every perdon or persons claiming the whole or any part thereof. 4925"1 10/10/2023 03:22 Page 2 of 2 pS / IN WITl1S WHEREOF, the Grant's -Sr has executed this d on the date set forth GRANTOR i! l ST 4�F COLORADO ) ss. of The foregoins instrument was acknon&I''' ged before me this, 2023, by Justin..ckson. 1itaess my hand and official seal. My commission expire:. CHRISTJAICIW1Rw COLD NOTARY PUBLIC *T4rE OF COLORADO NARY ID. 20124O31712 • MY QOMMISSION EXPIRES 05/25/204 • ♦ � J day of Septum ra' tnC THIS 11`STRUMENT ''' : t VAT THE SPECIFIC "REQUEST OF GRANTOR BASED SOLTLY ON 1NFORMAOON SUPPLIED BY ON OR MORE OF THE PARTIES TO THIS _ ,4R5NVEYANCE, AN F \VITHOUT EXAMIN, ON OF TITLE OR AISSTRACT. THE '' DRAFTER ASSUMES NO LIABILITY FORAY ERRORS, INACCIMCY, OR OMISSIONS.:,, IN THIS INSTIWMENT RESULTING, F'R0M THE INFORMAI1ON PROVIDED, 'DOE PARTIES HERETO SIGNIFYING T4i,E1R ASSENT TO TH3S DISCLAIMER B' HE GRANTOR'S" EXECUTION A.ND THE GRANTE'S ` 'ACCEPTANCE O4F '`'THE INSTRU11FNT. `` '� -' ,,s.,..' (a' v Hello