HomeMy WebLinkAbout20252327.tiff PLANNED UNIT DEVELOPMENT ( PUD ) FINAL PLAT APPLICATION
FOR PLANNING DEPARTMENT USE DATE RECEIVED :
RECEIPT # / AMOUNT # / $ CASE # ASSIGNED :
APPLICATION RECEIVED BY PLANNER ASSIGNED :
P arcel Numbers — 191308000014 , 121317100016 and 121309000026
( 12 digit number - found on Tax I . D . information , obtainable at the Weld County Assessor ' s Office , or www . co . weld . co . us )
( Include all lots being included in the application area . If additional space is required , attach an additional sheet . )
Legal Description See legal description , Section Parts of Sections 8 , 9 & 17 , Township North , Range West
P roperty Address ( If Applicable ) None , see property list and report:
Existing Zone District : PUD Proposed Zone District : PUCE Total Acreage : 1'1 - 94 . 5 Acres Proposed # / Lots 284
Average Lot Size : 1 . 1 - 3 - Acres Minimum Lot Size : 1 . 1 Acres Proposed Subdivision Name : Pe ican Lake Ranch , F ' ing No . 2
P roposed Area ( Acres ) Open Space : + / - 255 Acres
Are you applying for Conceptual or Specific Guide ? Conceptual ❑ _ Specific
FEE OWNER ( S ) OF THE PROPERTY ( If additional space is required , attach an additional sheet )
Name : Christine Hethcock
Work Phone # 720 - 244 - 3336 Home Phone # Nit Email Address hethcock16@gmail . com
Address : PO Box 156
City/ State / Zip Code Red Feather Lakes , Co 80545
APPLICANT OR AUTHORIZED AGENT (See Below : Authorization must accompany applications signed by Authorized Agent)
Name : Todd Johnson
Work Phone # 303 - 257 - 7653 Home Phone # N / A Email Address todd@terraformas . com
Address : 3465 South Gaylord Court , A304
City/ State / Zip Code Englewood , CO 80113
UTILITIES : Water : Central Weld County Water District
S ewer : Individual Septic Systems
Gas : Atmos
Electric : United Power / Xcel
P hone : Comcast
DISTRICTS : School : Weld County School District RE - 1
Post : United States Postal Service
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 . Signatures of all fee owners of
property must sign this application . If an Authorized Agent signs , a letter of authorization from all fee owners must be
included with the application . If a corporation is the fee owner , notarized evidence must be included indicating the
signatory has the legal authority to sign for the corporation . I ( we ) , the undersigned , hereby request the Department of
P lanning Services to review this PUD Final Plat or request hearings before the Weld County Planning Commission and
the Board of County Commissioners concerning the PUD Final Plat for the above described unincorporated area of Weld
County , Colorado : Digitally signed by Todd A . Johnson
Digitally signed by Christine Hethcock
Christine Hethcock Dt7TiChristineHethcock , o , ou , DN : C = US ,
email = hethcock1G@gmail . comc = US E = todd@terrafar om = " T
erit
Signature : Christine Hethcock — Owner Date Signature Fo ma _ Solat c CN = Todd A . r Date
41� % 4 r
Johnson
`" 1 eason ' N _ Laxapproving this
document
Date : 2023 . 04 . 11 14 : 26 : 02 - 06 ' 0 (
3 .
DEPARTMENT OF PLANNING AND BUILDING
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONNMENT
sbr ` - " e 1555 NORTH 17TH AVENUE
' I1 aNd • a.. ii si • GREELEY CO 80631
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AUTHORIZATION FORM FOR BUILDING , PLANNING AND HEALTH DEPARTMENT PERMITS
AND SERVICES
Christine Hethcock Todd Johnson - Terra Forma Solutions , Inc
I , ( We ) , , give permission to
( Owner — please print ) ( Applicant / Agent — please print )
to apply for any Planning , Building or Health Department permits or services on our behalf , for the property
located at :
Pelican Lake Ranch - Filing No . 2
Sec . 8 , 9 & 17 3 65 . 00
Legal Description : of Section , Township N , Range W
Pelican Lake Ranch , Filing No . 2 N /A N / A
Subdivision Name : Lot Block
Property Owners Information :
720 - 244 - 3336 hethcock16@gmail . com
Phone : E - mail :
Applicant / Agent Contact Information :
303 - 257 - 7653 todd@terraformas . com
Phone : E - Mail :
Email correspondence to be sent to : Owner Applicant / Agent Both _ y
Postal service correspondence to be sent to : ( choose only one ) Owner Applicant / Agent y
Additional Info :
Christine Digitally signed by Christine Hethcock
DN : cn = Christine Hethcock , o , ou ,
email = hethcock16@gmail . com , c = US 4 / 1 0 / 202 3
Owner Signature : Hethcock _ Date : 2023 . 04 . 10 15 : 39 : 32 - 06 ' 00 ' Date :
Digitally signed by Todd A . Johnson
Agent Signature : DN : C = US , E = to . e d tectafornTas. coni , Date :
0 - T r • . r e r a ; Solution s , Inc . ,
r N = Todd : ACJohnson
Reason : � .m a p o roving fills document
Date : 2023 . 04 . 11 14 : 25 : 41 - 06 ' OC
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