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Home My WebLink About20211243.tiffRECEIVED: CASE # ASSIGNED: PLANNER ,ASVGNED: - mss_ c ,� _ DC r 1 Name: Jeti+ Li/ - Work Phone # Address:76o CityiStateilip Code 'PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION FOR PLANNING DEPARTMENT T USE RECEIPT # /AMOUNT # 1 APPLICATION RECEIVED BY Parcel Number (12 digit number - found on Tax ED. information, obtainable at the Weld County Assessors Office, or www.co-we1d.to.us' (Include all tots being included in the application area. If additional space is re wired a ch an additional sheet,) iliLJaaM- i North Ran est �#l�t� Town's - 1 Rang Leg&ice elf areal n CI) 48°5--3 Description � hip 05 Property Address (If Applicable) -71,1ce C. Existing Zone District: Plipi Proposed Thots:: Proposed Zone District: Acres Open Space: IthLW r Are you applying for Conceptual or Specific Guide? Conceptual FEE OWNER(S) OF THE PROPERTY (If additional space is required, attach an additional sheet.) see I Home Phone efhelit email Address COUL. nji-• tL t -- Total Acreage: specific /law e APPLICANT OR AUTHORIZED AGENT (See Beiow,a Authorization MUM accompany applications signed by Authorized Agent) Name: ► 3 11/410.12 Work Phone # Address: City/State/Zip Code UTILITIES: Water Sewer Gas: Electric Phone: DISTRICTS! School: Post: Tim 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 feeowners 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 hearings before the Weld County Planning Commission and the Board of County Commissioners concerning the proposer hanc �e of Zone Or '�Id County, �r�lc��d�.` (\the above described uni corperat d area o r c - r r,I 0 "1:31-02r7 >" � �' _ � _ .•mod nature: Owner or Authohzed Agent, Date ure: Owner or Authorized Agen a e eerireL liii fll I 1111111111 111.11! II I II 1111 IIl Quit Claim Deed (Pursuant to 38-30416 CRS.) State Do cu melt y Fee Date: March B,, 2014 $0,00 No Doc Fee Required DEED, made on March 24) 2014 by LAKOTA LAKES RANC ., LLC, A COLORADO LINIDLD LIABILITY COMPANY Grantor(s), of the County of WELD and State of COLORADO for the consideration of "' Ten Dollars and Other Good and Valuable Consideration *,* dollars in hand paid, hereby sells and quitclaims to JAMIE A. MC ILL DUSTIN C. CIIRISTENSEN rantee(s) whose street address is 404 PPAIRTE CLOVER WAY, SEVERANCE? CO 80550 County of WELD, 5_a e of COLORADO, the following real property in the County of WELD, and State of Colorado, to wit: LOT 1.,, CORRECT- _ ) PLAT OF LAKOTA LAKES RANCH '.U,I RS COUNTY OF WELD, STATE OF COLORADO. 23 }o Wil by street and .number as 7192 LAKOTA LAKES ROAD/CR 54., JOHNSTOWN, CO 80534 s r•a i� am-lea. its appurtenances. Dt u A EB RL: MEMBER OP LAKOIA LAKES RANCH, LLC,, A C,JLORADO LIMED LiAnmrry COMPANY cute.el COLORADO )ss Cu-1=y.of _- w� - f e of )2q111.11 by DEBT B AS MEMBER OF The ��a�� e�t was �.��c��_ed,�ed before �.,. this day .�_ LAKOTA LAKES RANCH, LLC, A COLORADO LIMITED LIABILITY COMPANY i t t :&. - Public N,ry _....,- ssion expires t, l� DONNA MANCI NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19894016570 tare `COPAMISSIO .SPIRES 11/17/2017 1 igsThe rzerded return to: JOE A- M.CGILL ANI DUSTIN C. CHRISTENSEN 404 PIUURIE CLOVER WAY, SEVERANCE? CO 910550 rSIM lerA..nt . a, 072120-n. cicd odt FT 25121305 (185 7506) WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS U RFACE ESTATE 10113/2020 158:44 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, httpJ/www.Go.weld.co1Us 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. Property Owners Within 500 Account R8955568 Feet of Parcel # 095729202001 Parcel , Owner 095719400002 CROISSANT 'FAMILY FARM LLC 80919301 18585100 095720000033 CROISSANT FAMILY FARM LLC 095729000048 1 73 j -r Signature Date Mailing Address 49316 OUNT' ROAD 63 BRIGGSOALEr CO 805/19319 49316 COUNTY ROAD 83 BRI G DALE, CO 806119319 BOTTERCL�L ADAM R8586700 095729000048 R3945805 095729202001 R3945805 P3945905 R394€005 095729202001 BOTTERILL JENNIFER CHRISTENSEN EN DUSTIN MCGILL JAMIE A 095729202002 RICHARD -SOLI BRYON 095729202003 R3946105 09572920 004 LAKOTA LAKES RANCH LLC MC-KINNEY MEREDiTHi B Parcels: 11' Owner Records: 14 7360 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 7008 COUNTY ROAD 54 JOHNSTOWN, CO 805349604- 7182 LAKOTA LAKES D JOHNSTOWN GO 805345629 7`I42 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 Page 1 of 8 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 3:58;44 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 oiroperty being considered_ This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.conweld.co6us, andhas not been modified from the original, The list compiled tor the records of the Weld County, Assessor was assembled within thirty days of the applications submission date, Property Owners Within! 500 Account Feet of ParcSS # 095729202001 Parcel Owner R3946105 095 29202004 MCKINNEY JEFFREY L R3946505 095729202008 83946605 095729202009 Mailing Address 7162 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 LAKOTA LAKES RANCH HOMEOWNERS ASSOC 7182 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 LAKOTA LAKES RANCH Lit R3946705 095729202010 81634386 I 095730000019 7142 LAKOTA LAKES RD .SOHH TOW, CO 805345629 LAKOTA LAKES RANCH HOMEOWNERS ASSOC BETZ EMANUEL TRUST Parcels: 11 7288 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 612 CHARLOTTE ST JOHNSTOWN, CO 805 8614 Owner Records: 14 Rage 2 of WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 3:58:44 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:thernewif.comweld.corus, 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. Property Owners Within 500 Parcels: 11 Feet of Parcel # 095729202001 Owner Records: 14 Date Page 3 of 3 County Planner's signature Notice of Inquiry Weld County Pre -application Case U PRE2U-0109 Date of Inquiry 7i17/20 Municipality Johnstown Name of Person Inquiring Property Owner Dustin Christensen Dustin Christensen Planner Diana Aungst Planner Phone Number 970400-3524 Planner Email Address daungst@weldgov.Com Legal Description Lot I Lakota Lakes Ranch PUD Corrected � p Parcel Number 0957 9202009 Nearest Intersection CR 54 and CR. 15.5 Type of Inquiry Add accessory dwelling units to the subdivision The above per metwith Planning staff about developing a parcel of land inside your designated personCounty intergovernmental Agreement/Coordinated Planning Agreement Boundary_ Would you like to pursue annexation of this property? NO Date of Contact 6/17/249 2e€7 Comments: ti� y ,Signature of Municipa'ty Representative Title YES FiLivi1/411\) 1QG Verrion) A Please sign and date to acknowledge that the applicant has contacted you and return this signed form to Weld County Department of Planning Services. Weld County Planning Department 1555 5 T 17th Aye, Greeley, CO80631 (970) 400-6100 (970) 304-6498 Fax 20181107 Notice of Inquiry Weld County Pre -application Case # P R Ego -O 109 Date of Inquiry 7/17/20 Municipality Milliken CPA Name of Person Inquiring Dustin Christensen Property Owner Dustin Christensen Planner Diana Aungst Planner Phone Number 970-40(1,3524 Planner Email Address daungst@weldgov.com Legal Description X Lot al Lakota Lakes Ranch PUD Corrected Parcel Number 095729202009 Nearest Intersection CR 54 and CR 15.5 Type of Inquiry Add accessory dwelling units to the subdivision The above person met with County Planning staff about developing a parcel of land inside your designated Intergovernmental Agreement/Coordinated Planning Agreement Boundary. thsrati County Planner's signature Would you like to pursue annexation of this property? NO Date of Contact '' t 10O Com .ents: Please sign and date to acknowledge that the applicant has contacted you and return this signed form to Weld County Department of Planning Services, Weld County Planning Department 1555 N 17th Ave, Greeley, CO 8O631 Plue (970) 400-6100 (970) 304-6498 Fax 21)181107 County Planner's signature Notice of Inquiry Weld County PRE20-0109 ereaapplioation Case # Date of Inquiry 711 120 Municipality Windsor CPA Dustin Christensen Name of Person Inquiring Property Owner Dustin Christensen Planner Diana Aungst 970-400-3524 Planner Phone Number Planner` Emaii Address daungst .weldgov.com Legal Description Lot 1 Lakota Lakes Ranch PUD Corrected Parcel Number 095729202009 Nearest Intersection CR 54 and CR 15.5 Add accessory dwelling ua1 its to the subdivision Type of Inquiry The above person met with County Planning staff about developing a parcel of land inside your desig nated Intergoverrtrnental Agreement/ oordinated Planning Agreement Boundary. Would you like to pursue annexation of this property? NO X YES _ Date of Contact 8/17/2020 Comments: This property is located outside of the Town of Windsor's GMA. No comments or concerns. Sign 4 Planner I 811772020 ire of Municipality Representative Title Date Please sign and date to acknowledge that the applicant has contacted you and return this signed form to Weld County Department of Planning Services. Weld County Planning Department 1555 nth Ave, Greeley, CO 80631 -- (oio) 400-6100 (970) 304-64498 Fax 20181107 11If2I11111 tit ItIll n111 II IJIII G 1111111 i! 311101 Ontarr Mil I:1 wait, Ct t c>f S 11 tnt C LH Wog taunt t nokd 1 s sj r halt. CbirlK MA t irl irC 1 ! ite �i: CPP lii r .. 'Mona ISQ'$r - 4 RT.+t'I 69 Ls eg'rn an 8a'Meta i i I I Ls 1 I tio I i vittiS s 0414..511041 -1 I Let aso c S warefima C,, tcc,-. t.flPJa WNW, Vela, Can! Pia• A. Iniales Se' tujLS lest i eh+, 9-?ai 9] LAkoIA_LAKES RANCH PU. . Dr A SUBDIV I S ION OF LOT A aI 0 OF RECORDED EXEMPTION* 09J7 - a9 _ 2- RE 2695, LOCATED IN THE NW I/4- B THE N1/2., $W I/4.I SEC. 29, T5N, REM 6Ih MMI..l WELD COUNTY, COLORADO CHANGE OF 70 NE (AGRICULTURAL TO PUB.) f i 1 L/ ,74 IV To, 1 �► 111�e5" ya { J 1 *•l Jul Lewis S J oceielli rote %N. ,s slit tall, NIN-IN"- MY tiro) s.am aka ti .• 14 N. �+,� r _.�� it •1i . ` Y�{{+!app .a ;�,A:y ` .L kIA . 1y vtjlJ U 1ar�9; �` a r 43 PZ-594 1.I."1 "as us' e,.r3r.1' •,. n. .-rr'•'rI.YJ 'ad Wee ..e ,.a.. ...,_�. _. — ar n - 5 — itaw1 1, Tar LOW -IL "r#Qkl Pro,a►nrtc. 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Rlw 41 • raiesser I i l l 11 ',d • tinge/NM 1IOW 411#A•CA+'r: I'•,s11, r'i.1trio 1ta+.$ Al !iaI,.,rSr l II Pa. 1ot 1 ring. Vr9 '$■1t. 1tRAE 8 SHOT nac' • . I aaa1 4,;_w C r 5iPe t L f1E; I i INC. inr am -1i r. w'leedic nxw+�.-lWfls a - t n -1 � lti. 11 .-Ir•icT6� jll o s mg_ hft Ctge4 a. Weld County Treasurer Statement of Taxes Due Account N umber 1(3945805 Legal Description LLRC LI LAKOTA LAKES RANCI-I PTA CORR Account: R3945805 MCGILL JAMIE A 7008 COUNTY ROAD 54 .JOHN OWN, CO 80534-9604 Year 2019 2019 Charges Interest Tax Grand Total Due as 0110113/2020 Tax Billed at 2019 Rates for Tax Area2371 _237 11 Authority WELD COUNTY SCHOOL MST REil NORTHERN COLORADO WATER (NC FRONT RANGE FIRE RESCUE (JO AIMS JUNIOR C'I LLECrE THOMPSON RIVER REC HIGH PLAINS LIBRARY Taxes Billed 2019 Credit Levy Mill Levy 15.0380000* 24.0000000 1.0600000 11.4910000 6.3540000 3.5940000 3.2 i 70000 'rice] 095729202001 Sinn Address 7008 COUNTY ROAD 54 WELD CelCh 0 fregal Billed $99.!2 $4,951.04 Amount Si,] 50.S5 $1,836.72 $76.53 79.44: $48627 £275.05 $246_20 64.6940000 $4,951.04 Payments $99.02 $4,951.04 Values SINGLE F.- LAND SINGLE F .RES- 1 MP OVEMMTS Total Actual $117,002 $893,303 Balance $0.00 $0.00 50.00 Assessed S.12,660 $63,870 $1,070,305 $76,530 ALL TAX LIED SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER LDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. Weld County Treasurer's Office 1400 N 17th 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 tot this parcel have been paid in full. Signed(: Date: _1 i> I3?_OW ner or Authorized Agent PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION FOR PLANNING DEPARTMENT USE RECEIPT # /AMOUNT # T -n - APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED; PLANNER ASSIGNED: Parcel Number 549 h3 /lit t-r� ti ,� �� riM!_ - t `' ' L.e'f X12 digit number - found on Tax i,CD. information, ation, obtainable at the Weld County Assessor's Office, or r,co..v eid.co.us) [include an lots being included In the apilcation area. If additional space ? is :,i. der an addilja.nal sheet.) 12 iiriCh Lvegkci, I egal DescriptionURCe , Section � . Township North, Rang }E Wiest - Property Address �lfApplReaf�lej 7Rh- t i y a -1`- - Existing Zone District: a'* /2-1 1' a tar Proposed Mtots: Pe Proposed Zone District: Acres Open Space: 1 jtaye Are you applying for Conceptual or SpecH c Guide? _ 'Conceptual F FEE OWNER(S) OF THE PROPERTY Of additlonel space is required, attach an additional sheet) Name. k Of� Win Work Phone i.o ¢r Home Phone # Address: T I a City/State/Zip Code _t__. Email Address \eft,La Ce Total Acreage, L.'. Specific Aiinflit-MeRi 'St 53 APPLICANT OR AUTHORIZED AGENT (Sea Below.- Authorization mast accompany applications signed by Authorized Agent) Name: rt Work Phone ## Home Phone # Email Address Address: City/Slate/Zip Code UTILITIES: Water Sewer vPT Gas: Phone: DISTRICTS: School: Post: (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted wail or contained within the application are true and correct to the best of my (uurNinowiedge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from ail fee owners must be included with the application_ if a corporation is the fee owners notarized evidence must be included indicatng the signatory has the legal authority to sign for the corporation_ I (we), the underaigned, hereby request hearings before the Weld County Planning Commission and the Board of County Commissioners concerning the proposed d Change of Zone the cribed unincorporated area of Weld County, Colorado:: o re) ,—ao Date Signature: Owner or Authorized Agent Date Land r Fri caye+—fFGiJR0EU ORJGN.AL ATTACHED rgCHED 4525651 09/23/2019 1,2?43 PM Total Pages: I Rec Fee: $13.00 Doe Fee: $8720 Carly Koppel F erk and Recorder, Weld County, CO General Warranty Deed (Pursuant to C.R.S. -30-113(1 (a)) Grantor(s), BRADFORD M. THOMAS AND SUSAN IC THOMAS, whose street address is 7182 LAKOTA LAKES. ROA0F JOHNSTOWN, CO 80534, City or Town of JOHNSTOWNd County of Weld and State of Colorado , for the consideration of 3872,000.00) ***Eight Hundred Seventy Two Thousand and 00/1 00'n doflars, in hand paid, hereby self(s) and convey(s) to BRYON RICHARDSON, whose street address is 7182 LAKOTA LAKES ROAD, Johnstown,, CO 805 34, City or Town of Johnstown, County of weld and State of Colorado, the following real property in the county of Weld and State of Colorado, to wit: State Documentary Fee Vie: September 20, 2019 LOT 2, CORRECTED PLAT OF LAKOTA LAKES RANCH P,U.D.₹ COUNTY OF WELD, STATE OF COLORADO EXCEPTING AND RESERVING UNTO THE GRANTOR ANY *1W ALL INTEREST IN OIL GAS AND OTHER MINERALS UNDERLYING SUCH LAND. also known by street and number as; 7182 LAKOTA LAKES ROAD, JOHNSTOWN, CO 80534 with all its appurtenances and warrant(s), the title to the same, subject to Statutory Exceptions. ned its ' : of September 20. 20 BRA FORD M. THOMAS State of Colorado County of WELD SUSAN K. THOMAS The foregoing instrument was acknowleSiged before me on this day SUSAN Ka THOMAS Witness my hand and officiat seal My Ocrnraission expires: TAMMY NI STAFF 7 NOTARY PUBLIC STATE OF COLORADO NOTAcre to woto07393 2 My CommComrn4sion Expires May 4, 2V21 2019 b FOR f T CAB AND When recorded return to; BRYON RICHARDSON 7182 LAKOTA LAKES ROAD, Johnstown, OO 80534 Form 1009 closlrng/deeds/statutory/wd^statutory.html 25167521 (486447) WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 4:03:46 PM THE UNDERSIGNED, motes 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 consideret. This list was compiled utitizing the records of the Weld County Assessor available on, the Weld County internet Mapping site, httplAmtvw.comweidtco,us, and has not been modified from the original. The ilist compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date, Signature rya; -e2o Date Property Owners Within 500 Feet of Parcel # .09572920200 Account P 1 - - - Owner Mailing: Address R8955568 CROISSANT FAMILY FARM LW 49316 COUNTY ROAD 83 095719400002 8R GssoALE! CO 806119-319 R0919301 095720000033 CROISSANT FAMILY FARM LW 49315 C U BRIGGSDALE7 N ' ROAD CO 80611 83 19 R8586700 095729000048 BOTTERILL ADAM R8586700 0957290001 , BO Ft t ILL JENNIFER 7360 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 R3945805 095729202001 CHRISTENsEN DIJ TPN 83945805 095729202001 I ILL I III 7008 JOHNSTOWN, COUNTY ROAD 54 CO 805 9504 R3945905 - O95729202002 RC 7182 JOHNSTOWN, IOTA LAKES RD CO 805345629 R3946005 0957 920 l L 7142 LA TA LAKES RU L T L l JOHNSTOWN, CO 8053 29 095729202004 MCKINNEY MEREDITH B R3946105 Parcels, 11 Owner Records: 14 Page 1 of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:03:46 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 assignee by the Weld County Assessor of fie 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:iiwivvvitconweldaco,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. CLA Property Owners it in 500 Feet of Parcel E# 095729.202002 _ --,72 /7a Signature Date Account Parcel Owner i Mailing Address ,R39461 15 095729202004 IVICKINNEY JEFFREY L i 7162 LAKOTA LAKES RD I JOHN TOW , CO 805345629 R3946505 095729202008 LAKOTA LAKES RANCH ASSOC HOMEOWNERS 7182 LAKOTA LAKES RD JOHN TOW , CO805345629 R3946605 095729202009 7142 LAKOTA LAKES RD OTA LAKES RANCH LLC yy�� TOWNS C 805345629 COJOHN R3946705 T 095729202010 t288 JOHN COUNTY TO +'N, ROAD 54 CO 805 004 LAKOTA LAKES RANCH HOMEOWNERS ASSOC R1634386 09 730000019 BETZ EMANUEL TRUST 612 CHARLO I I E ST JOH STOWN, GO 805348614 Parcels: 11 Owner Records: 14 Page 2 of WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT VIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 4:03:46 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 proper (the surface estate) grin 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: httpthivottow.co.weld.co.us, and has not been modified m the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet Date of Parcel # 095729202002 Owner Records: 14 Page 3 of 3 Wek Treasurer Statnnt of Taxes Due z Accarnatuirthci R3945905 Legal nesuiption !ARC LAKOTA LAKES RANCH PUD CORK Acconnt 17.3945905 RICI4ARDSON BRYON 7182 LAKOTA LEES RD JOHNTOWN,, CO 805345629 Year 2019 Charges Tax. Pucci0957292U002 Ei $3,558.18 Sits 7182 LAKOTA LAKES RD WELD Payments ts i5&.1& Ralee $0.00 Grua Tolai as of1.O13a2 Tax Billed at 2019 Rates for Tax Arta 2371 - 2371 Authori ty WELD COUNTY SCHOOL DIIST RE5J NORT1-ERN ' LO O WATER FRONT RANGE FIRE RCUE (10 AIMS JUNIOR COLLEGE 71-1O,MPSON RIVERREC HIGH PLAINS LIBRARY Taxes Billed 2019 Credit Levy X11 Levy 15,0380000* 24.0000000 1.00000® 11 49100n0 6.540000 3_5940000 3.x:1 7000 64.6940000 Amount 3;g2T 07 $1,320.01 $55.00 SC -0i 01 $,349.4 $197_67 $1176.94 53.558.18 LAN) SINGLE FAM,RFS- EveROVENITS $0,00 Values Actual Assessed SINGLE F Wit- $147,396 $10,540 $621,760 4-43460 T� $169y15a 155,000 S. ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO C ANGE DUE TO ENDORSEMENT OF CLIRRE.NT TAXES BY Ti-IE LIENNO DER OR TO ADVERTISING AND DISTRAINT WARRANT 1T FEES. • Weld County Treasurer's Office 1 400 N 17° Avenue PO Box 458 Greeley, O 80632 Phone: 970-40&-3290 County Subdivision Ordinance, the ached Statement of Taxes Due Pursuantissued by to the Weld +� �� current andpri+�r gal- e Weld County Treasurer are evidence that as this date, a! taxes related, to this parcel, have been mid in MI Signed. 11) Date: 3,4 PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION IA FOR PLANNING DEPARTMENT USE RECEIPT # AMOUNT # 1$ APPLICATION RECEIVED BY Parcel Number7 012 digit number - found on Taxi"). information, obtainable at the Weld County Assessor's Offices or www.c_vwe1d.co us (Include li lots being included in the application area, If addltlonal space is trip ' apach an additional sheet) CT ��r • .l '8I airth 1 _'e.al Descri tion , - 'ection , Township L./....)_Nordh, Range lest Leg � Property Address (If .,pp'icable) 71- a lesa- Existing Zone District: Pa DIE DATE RECEIVED: CASE ASSIGNED: PLANNER ASSIGNED: fit _aecg Ake.5 J 5111713-12:sh. D 8053 1 Proposed Zone District:ire .d Proposed /Lets: _ Acres Open Space: Are you applying for Conceptual or Specific Guide? $ � A• t .ao` 4<Q Conceptual i-i FEE OWNER(S) OF THE PROPERTY (If additional space is required, attach an ad itiora.9 sheet. l l } Name://likee Ddieriet_ Work Phone I* Address: 7/ Sile- CityiStatelZip Code tett- Email Address F .s II 1 4 i otaI Acreage:� Specific s Ammeinte/O4- o atees, aeta/ APPLICANT OR AUTHORIZED AGENT (See Below: Authoirization mast accompany applicationgasign byALI ri ed A n ra } � r PE, Name: 1 AMC +F` Work Phone # Address: City/State/Zip Code UTILITIES: Water: LIE e, r t' pito _ r Sewer: _ Gas: Fit Electric: Phone: DISTRICTS: School: Post: I (We) hereby depose and state under penalties of perjury that all statements, proposals, andior plans submitted with or contained within the aporioatinn 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 al; fee owners must be included with the application_ if a corporation is the fee owner, notarized evidence must be included indicating the. we the undersigned, hereby request hearings before the signatory has the legal authority to sign for the corporation. (we), � � Weld County Planning Commission and the Board of County commissioners concerning the proposed Change of Zone for the ye do tear - d runin or i. * .led area of Weld County, Colorado: Da e Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent an QUITCLAIM DEED THIS DEED is dated and is made between DEBRA K. EBERL TODD 1VITOCKL6 - and ELI KREBS (whether one, or more than one), the "Grantor," of the County of Weld and State of Colorado, and , LAKOTA LAS RAN a limited liability emrnpany duly organized and existing under mid by virtue of the laws of the State of _Colorado , the "Grantee," whose legal address is '.0 BOX 74 .l HN ST WN CO 80534 of The County of Weld and State of Colorado . IVITNESS, that the Grantor, for and in consideration of the sum of TEN DOLLARS, $t0.00), the receipt and sufficiency cien y of which is hereby acknowledged, does hereby remise, release, sell and QUITCLAIlvt unto the Grantee, it's successors and assigns, forever, all the ri t, title, interest claim and demand which the Grantor has in property, ro and to the real p , together with any improvements this located in the County of Weld and State of Colorado, described as follows: Lots 1, 2, d, 4. and 5, and Outlet B and Outlet ID of Lakota Lakes Ranch, Weld County, Colorado, according to the Corrected Mat of Lakota Lakes Ranch P.U.D. thereof recorded on August 3O 2005, at Reception No. 3317927, in the records of the Clerk and Recorder of the County of Weld,. Colorado. TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto or in anywise ise thereunto pertain and all the estate, right, title, interest claim whatsoever of the rat�tor, belonging, appertaining, either equity, in law or a ui y, to the only proper use, benefit and h f of the Grant , and it's successors and assigns, forever. IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above_ ELI KREBS STATE OF COLORADO County of 11111 11111 11111 11111 11111 ill 11111 3411868 estwzooe O411P Weld County, CO 1 of 1 R ties a 0.00 Stave Moreno Clerk & Recorder ) ss. The foregoing instnunent was acknowledged before me this Witness my band and official seal. My commission exp 200(2 , by Na me and Address ofFerson Creating e l Created Legal Description ( ) Nw9 . Rev. is Qurrasnitt DEED stinhat L S l (Pagel of I) WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:06:51 PM THE UNDERSIGNED, Stales 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 Droper (the surface estate) within 500 feet of the property being considered,. This last was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://wr-co.weId.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 data. Propery Owners Within 500 Feet of Parcel # 095729202003 Acount Parcel Owner RO9-19301 095720000033 CROISSANT FAMILY FARM LLC Sig _ ifisifito Mailing Address ,atu re Date 4 318 CouNre ROAD 83 BRI GS ALE, CO 8061 9319 X8586700 095 29000048 BOTTERILL ADAM R8586700 095729000048 GOTTERILL JENNIFER 095 29000052 KEMMMIER DEBRA 095729000052 KEMIVER GORDON B 7360 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 25741 COUNTY ROAD 15 1/2 JOHNSTOWN, CO805349515 095729202001 CHRISTENSEN DUSTIN 83945805 095729202001 R3945905 095729202002 MCGILL JAMIE E A RICHARDSON BRYON R3946005 095729202003 7008 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 7182 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 LP., . OTA LAKES ES RAN.CH LLC Parcels: 12 7142 LAKOTA LAKES RD jOHNSTOVIIN, CO 805345629 Owner .+ecords: 17 Page.1 of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:06:51 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://wwvv.co.weIdecoaus, 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. Date Property Owners Within 500 Feet of Parcel # 095729202003 Account. Parc & Owner R3946105 095 29.202004 MCKINNEY MEREDITH B R3946105 MCKINNEY JEFFREY L R3946305 Mailing Address 7162 LAKOTA LAKES RD J0HNSTOWN, N, O 605345629 09512 9202 06 SCE-MARTSCE-MARTZ I EI HA RAE R3946505 E°95729202008 SCHWARTZ TANNER fl TWO HOPES LIVLNG REVOCABLE TRUST 599 VERMILION PEAK DR WINDSOR, CO 805503250 7142 LAKOTA A LAKES RD JOHNSTOWN, CO 805345629 LAKOTA LAKES RANCH HOMEOWNERS ASSOC R3946605 83946705 095729202009 095729202010 7182 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 LAKOTA LAKES RANCH LLC 7142 LAKOTA LAKES RD JOHNSTOWN, CO .805345629 LAKOTA LAKES ASSOC Parcels: 12 RANCH HOMEOWNERS 7288 COUNTY ROAD 54 JOHNSTOWN CO 8053496.04 Owner Records: 17 Page 2 of WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:06:51 PM THE UNDERSIGNED, States that to the best of his or her knowledge ledge 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, hftp://wvvw.co.weld.co.uss. and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within flirty days of the applications submission date. Date Property Owners Within 500 Feet of Parcel U 095729.202003 Parcels: 12 Owner Records: 17 Page 3 of 3 L.#U1ie Thompson Water Distric Uttie Thompson Water District 835 E State Highway 56 Berthoud, CO 80513 970-532-2096 info@itwd.org Office hours are Monday - Friday 7:O0am - 5:00pm FcMow us on Eacebookat httos://www.faceboolcicorritittleThompsonWater. Billing Address Service Address BBERL,DEBRA 7142 LAKOTA LAKE RD J0HNSTOWN, CO 80534 7172 LAKOTA LAKES RD JOHNSTOWN CO 80534 Read Prey Present Description Date Reading Reading W LJ No Reading Account Information Account 6844..01 Number: Account Utility )-1E D.. ;_" : 10/25/2020 Bilking Period End: 9/30/2020 Total Charges Water Base $8.35 K - Charges $ 8.35, Statement Payment on: 10/20/2020 - , 35 Total Amount Due $0.00 Weld County Treasurer r Statement of Taxes Amount Number R3946005 Legal Desa Qdon L. C L3 LAKOTA LAKES RANCH T UD CORR Account: R3946005 LAKOTA LAKES RANCH LLC 7142 LAKOTA LAKES JOHNSTOWN, CO 80534%5629 Year 2019 2019 Charges Miscellaneous Tax Parcel 095729202003 _ $5.000 $1.30 Gad Total Due as of 10/13/2020 COLLECT Tax Billed at 2019 Rates for Tax Area 2371 .. 2371 Authority WELD COUNTY SCHOOL DIST WSJ NORTHERN COLORADO WATER (NC FRONT RANGE FIRE RESCUE (JO ANS JUNIOR COLLEGE '. HOlv1PSON RINTR REC HIGH PLAINS LIBRARY Taxcs fl lllcd 2019 * Credit Levy Sims Address 1172 LAKOTA LAKES RD WELD payme s $5.00 $1.30 _ Balonce S0.00 0.00 SI Mill Le 15.0330000* 24.000)000 1.00 000 11.4910000 6.3540000 3.5940000 3.217 64.69401100 1 Weld County Treasurer's Office 1400 N 17th Avenue PO Box 458 reeisy, CO 80632 Phone: 970-400-3290 Amount $0.30 $0.49 $0.02 50.23 S0.13 ��''qq .07 SYi. 06 $1.30 S5 :C°.10 Values AG -MEADOW HAY LAND Total Act 1 Assessed $20 $61 $20 Pursuant to the Weld County SubdWision Ordinance, the attached Statement current and prior year re evidence that as of this dates ail cup issued by the Weld County Treasurer taxes related to this parcel have been Bid in l4 signed: Date: L5 202O PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPUCATI ''ilk R PLANNING DEPARTMENTUSE DATE RECD; , - RECEIPTt f U __ CASES ASSIGNED; APPLICATION i EID BY PLANNER SI P� u0 a atea _ SO nuirtherlireildl Ott Tax La troparavalion, ettitainehle at Tie ithtid County ASIteg4015. or ,�r . � ] .ate 1ncsi T a int application mu, tic atonal reas Enact dirt addit orb; " -; CdriC-11 Lek* Prop a- ca } )1 ting Zone District Pa' Pub : 17 ProDistrict or i, Acres alien Space, - It Are you amilying .for Conceptual or Specific Guide? a Com rI afow n :leipll4:__ North, Rang FEE ( ) OF THE PROPERTY of at is anaddionsli E _) Name: J e Phone* Adaretsr 114 „a City/Sate/4 e Total Acreage a. r Ansfetmat Mer 9 APPu OR UTT-IORI AGENT : Aboartation Mc*.as. y ,apptratiatiS Signed by .4tithelmed Hama e tie it Meredith Work 'hone City/Stat e SF'wer ou r _ i r Gas: Bet Phone: r semi! 'Ars; RE -5 ID e} t Fy depose and :state under penalties f t allstatementsz' ' r artdlorplanssubmittedor coned within the application are -and =area to the test of (outliknothedge Stanatures of all fee omen of property must sign this applicatioa if an Authaized Agent signs,a letter of authorizationkern fee ers rriust be •iinducied with the application. If a*corporation V the. fee i tnotarized evidence must be rued indicating signatory has the legai authority to sign for lite corporation.. I ' ) s the ung; _ hereby request hearings Weld CO ty Planning Cord % - 0n and the Board of Canty Commissioners co rn` f ilitre spitiposeel Change of Zone for r � r � " -,�, � u a� ��a ama of Weld County, radio: b prized Aa rt. ignahwe Owner orar A 4475406 03122/2019 11:32 AM Total Pages: 3 Rec Fee: $23.00 Doc Fee: $72.50 Carly Koppel - Clerk and Recorder, Weld County, CO Warranty Deed (Pursuant to 38-30-113 C.R.S. ) State Documentary Fee Date: March 21, 2019 $72.50 THIS DEED, made on March 21st, 2019 by WARREN PATTISCN AND HEATHER PATTISON Grantor(s), of the County of Weld and State of Colorado for the consideration of ($725,001.00) ''Seven Hundred Twenty Five Thousand and 00/100Inry dollars in hand paid, hereby sells and conveys to JEFFREY L. MCKINNEY AND MEREDITH B. MCKINNEY Grantee(s), as Joint Tenants whose street address is 7152 LAKOTA LAKES RD., Johnstown, CO 80534, County of Weld, and State of Colorado, the following real property in the County of Weld, and State of Colorado, to wit: LOT 4, CORRECTED PLAT OF LAKOTA LAKES RANCH PIU.D4, COUNTY OF WELD, STATE OF COLORADO. also known by street and number as: 7162 LAKOTA LAKES RD, JOHNSTOWN, CO 80534 with all its appurtenances and warrants the title to the same, subject to the matters shown in the attached Exhibit A, which, by reference, is incorporated herein. Lore" WARREN PATTISCN HEATHER PATTISCN State of Colorado County of Weld The foregoing instrument was acknowledged before me on this day of March 21st„ 2019 by WARREN PATTISON AND HEATHER PATTlSON Witness my hand and official seal My Commission expires: a ANGELIA M STRQTHS NOTARY PUBLIC STATE OF COLOMDO NOTARY ID 19974000917 .MY COMMISSION E3(Pl�� JANI�AF�Y i �, 2021 -��rrRcar irrarees�a�� When recorded return to: JEFFREY L. MCKINNEY AND MEREDITH E. MCKINNEY 7162 LAKOTA LAKES R.D., Johnstown, CO 80534 Form 1040 coos ing{deedsfwd 2019.html I 251 63204 (442907) II I 1111111111111111111111111 4475406 03/22/2019 11.32 AM Paget of3 Exhibit A 1. GENERAL TAXES FOR THE YEAR OF CLOSING. 2. DISTRIBUTION UTILITY EASEMENTS (INCLUDING CABLE TV). 3. THOSE SPECIFICALLY DESCRIBED RIGHTS OF THIRD PARTIES NOT SHOWN BY THE PUBLIC RECORDS OF WHICH GRANTEE HAS ACTUAL KNOWLEDGE AND WHICH WERE ACCEPTED BY GRANTEE IN ACCORDANCE WITH § 8.3 (OFF - RECORD TITLE) AND § 9 (NEW ILC OR NEW SURVEY) OF THE CONTRACT TO BUY AND SELL REAL ESTATE RELATING TO THE REAL PROPERTY CONVEYED BY THIS DEED. 4. INCLUSION OF THE PROPERTY WITHIN ANY SPECIAL TAXING DISTRICT. 5. ANY SPECIAL ASSESSMENT IF THE IMPROVEMENTS WERE NOT INSTALLED AS OF THE DATE OF GRANTEE'S SIGNATURE TO THE CONTRACT TO BUY AND SELL REAL ESTATE RELATING TO THE REAL PROPERTY CONVEYED BY THIS DEED, WHETHER ASSESSED PRIOR TO OR AFTER CLOSING. 6. RIGHT OF THE PROPRIETOR OF A VEIN OR LODE TO EXTRACT AND REMOVE HIS ORE THEREFROM, SHOULD THE SAME BE FOUND TO PENETRATE OR INTERSECT THE PREMISES HEREBY GRANTED, AND A RIGHT OF WAY FOR DITCHES OR CANALS CONSTRUCTED BY THE AUTHORITY OF THE UNITED STATES, AS RESERVED IN UNITED STATES PATENT RECORDED APRIL 22, 1908 IN BOOK 131 AT PAGE 210.. 7. RIGHT OF WAY FOR COUNTY ROADS 30 FEET ON EITHER SIDE OF SECTION AND TOWNSHIP LINES, AS ESTABLISHED BY THE BOARD OF COUNTY COMMISSIONERS FOR WELD COUNTY, RECORDED OCTOBER 14, 1889 IN BOOK 86 AT PAGE 273. 8. EASEMENT GRANTED TO FARMERS IRRIGATING DITCH AND RESERVOIR COMPANY, FOR DITCH RIGHT OF WAY, AND INCIDENTAL PURPOSES, BY INSTRUMENT RECORDED AUGUST 06, 1896, IN BOOK 114 AT PAGE 482, 9. A ROAD RIGHT OF WAY OVER AND ACROSS THE NORTHERLY 30 FEET AS SET FORTH IN DEED RECORDED FEBRUARY 15, 1897 IN BOOK 140 AT PAGE 437. 10. EASEMENT GRANTED TO GREAT WESTERN CONSTRUCTION CO. , FOR RAILWAY RIGHT OF WAY, AND INCIDENTAL PURPOSES, BY INSTRUMENT RECORDED MARCH 07, 1902, IN BOOK 190 AT PAGE 183. 11. RIGHT OF WAY FOR HILL & BRUSH DITCH, AS CONVEYED BY INSTRUMENT RECORDED JULY 14, 1915 IN BOOK 417 AT PAGE 302, IN WHICH THE SPECIFIC LOCATION IS NOT DEFINED. 12. UNDIVIDED ONE-HALF INTEREST IN AND TO ALL OF THE OIL, GAS, AND OTHER MINERALS, AS CONVEYED TO CHARLES B. GHOLSON IN THE DEED RECORDED JULY 18, 1953 IN BOOK 1361 AT PAGE 108, AND ANY AND ALL INTERESTS THEREIN OR RIGHTS THEREUNDER. 13. UNDIVIDED ONE -QUARTER INTEREST IN AND TO ALL OIL, GAS, AND OTHER MINERALS, AS CONVEYED TO LEE MCCORMICK IN THE DEED RECORDED AUGUST 7, 1953 IN BOOK 1364 AT PAGE 59, AND ANY AND ALL INTERESTS THEREIN OR RIGHTS THEREUNDER_ 14. OIL AND GAS LEASE BETWEEN ALBERT S. CHALLENGER AND CELIA L. CHALLENGER AND SIERRA ENERGY ASSOCIATIONS, INC. DATED FEBRUARY 10, 1984, RECORDED FEBRUARY 16, 1984 UNDER RECEPTION NO. 1956372 IN BOOK 1021, AND ANY AND ALL INTERESTS THEREIN OR RIGHTS THEREUNDER. 15. TERMS, CONDITIONS AND PROVISIONS OF USE BY SPECIAL REVIEW RECORDED SEPTEMBER 11, 1985 UNDER RECEPTION NO. 2024458 IN BOOK 1084 16. ACCESS ROAD AS SHOWN ON USE BY SPECIAL REVIEW RECORDED SEPTEMBER 11, 1985 UNDER RECEPTION NO. 2024458 IN BOOK 1084. 17. EASEMENT GRANTED TO ASSOCIATED NATURAL GAS, INC., A COLORADOCORPORATION FOR PIPELINE GATE VALVE OR GATE VALVES BY INSTRUMENT RECORDED MAY 18, 1990, UNDER RECEPTION NO. 2214323 IN BOOK 1264 18. EXISTING GRAVEL LEASES AND RIGHTS AS EVIDENCED BY DEED RECORDED SEPTEMBER 17, 1993 UNDER RECEPTION NO. 2350959 IN BOOK 1402. 19. EASEMENT GRANTED TO POUDRE VALLEY RURAL ELECTRIC ASSOCIATION, INC. FOR ELECTRIC LINE BY INSTRUMENT RECORDED MAY 17, 1994, UNDER RECEPTION NO. 2388899 IN BOOK 1442 20, TERMS, CONDITIONS AND PROVISIONS OF RESTRICTIVE COVENANT AGREEMENT RECORDED MAY 20, 1999 AT RECEPTION NO. 2694986. Farm 1040 alosi ng/deeds/wd 2019.htrrrl 25163204 (442907) 4475406 03/22/2019 11.32 AM Page 3 of 3 21. EASEMENT AND RIGHT OF WAY AGREEMENT TO LITTLE THOMPSON WATER DISTRICT RECORDED JUNE 12, 2000 UNDER RECEPTION NO. 2774218. 22. EASEMENTS, CONDITIONS, COVENANTS, RESTRICTIONS, RESERVATIONS, RIGHTS OF WAY AND NOTES ON THE RECORDED EXEMPTION NO. 0957 -29 -2 -RE -2695 RECORDED OCTOBER 31, 2000 AT RECEPTION NO. 2803631 AND SUBDIVISION EXEMPTION NO. 0057 -20 -2 -SE -843 RECORDED OCTOBER 31, 2000 AT RECEPTION NO. 2803630. 23. EASEMENT GRANTED TO POUDRE VALLEY RURAL ELECTRIC ASSOCIATION, INC., FOR OVERHEAD AND/OR UNDERGROUND ELECTRIC LINE OR SYSTEM, AND INCIDENTAL PURPOSES, BY INSTRUMENT RECORDED MARCH 19, 2001, UNDER RECEPTION NO. 2833432. 24, ALL RIGHT TITLE AND INTEREST IN AND TO ALL OIL, GAS AND OTHER MINERALS AS CONVEYED BY DEED RECORDED MARCH 12, 2004 AT RECEPTION NO. 3151 574. 25. RESTRICTIVE COVENANTS, WHICH DO NOT CONTAIN A FORFEITURE OR REVERTER CLAUSE, BUT OMITTING ANY COVENANTS OR RESTRICTIONS, IF ANY, BASED UPON RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, FAMIUAL STATUS= MARITAL STATUS, DISABILITY, HANDICAP, NATIONAL ORIGIN, ANCESTRY, OR SOURCE OF INCOME, AS SET FORTH IN APPLICABLE STATE OR FEDERAL LAWS, EXCEPT TO THE EXTENT THAT SAID COVENANT OR RESTRICTION IS PERMITTED BY APPLICABLE LAW, AS CONTAINED IN INSTRUMENT RECORDED MAY 24, 2005, UNDER RECEPTION NO. 33288777. AMENDED SEPTEMBER 20, 2005 AT RECEPTION NO. 3324506. 26. TERMS, CONDITIONS AND PROVISIONS OF IMPROVEMENT AGREEMENT RECORDED AUGUST 02, 2005 AT RECEPTION NO. 3308596. 27. EASEMENTS, CONDITIONS, COVENANTS, RESTRICTIONS, RESERVATIONS AND NOTES ON THE RECORDED PLAT OF LAKOTA LAKES RANCH P.U.D. RECORDED JULY 20, 2005 AT RECEPTION NO. 3304679 AND THE PLAT OF LAKOTA LAKES RANCH P.U.D. RECORDED AUGUST 30, 2005 AT RECEPTION NO. 3317927. Form 1040 olosingIdeeds/wd_2013.htmI 25183204 (442907) wan COUNTY COLORADO LAN - RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 1:W1312020 4:14-28 PM THE REIGNED; to the best of his her Knowledge - _.�tle altirched list is a true and accurate list of the names, , r and the correspondingParoal Identification Number assigned by " Assessor ' `'i the owners of the property(the estate) Whin 500 feet of the property being considered, This !r :was Jp rtzinn3cords of :the Weld County Assessor available on the Weld County I e rnet Mapping site, httpWwwwxo w d Goa u , and has not been modified from the origin& The list mpil d for the al of the Weld within thirty days of the applications bmi 's n sta y roperty Owners Within 500 Feet of Parcel 29202 Account Parcel Owner Wiling Address 49316 COUNTY ROAD RD919301 0057200000 • `SAWFAMILY FARM ti , BR PGG DALE CO 806119319 R8588700 0957291000O48 B 0 • ■ E irILL ADAM 73 JOHNSTOWNI COUNTY 'R T ROAD 54 CO 805349604:: 00 0957 i r' BOTTER JENNIFER R.8586800: 09572! i I no E MS :'DES 25741 JOHNS :COuNtir ; OW, ROAD 15 CO 805349515 lr 8585800 9 7 E GORD0N B 3609 N COUNTY ROAD 13 1823 I 095729000057'1 :COULS O7 'N EXCAVATING CO INC LOVEL, CO 80538231:6 :R3: ' 095729202001 DUSTIN I+ ICHRISTENSEN } LINTY: ROAD 54 , • i i-i :095129202001 MCGII-i .MIEI ' JOHNS' ■ W,, CO 805349604: R3945905 l 095729202002 RICHARDSON BRYON 7182 IOTA LAKES RD i0HNSTOWN, CO 8053456291 Parcels: 14 Owner :Rao:Ands; 20 WELD COUNTY COLORADO LAND RECORDS akFFIDAVIT OF INTERESTED D OWNERS SURFACE ESTATE 1O11312020 4:1428 PM THE UNDERSIGNED, States that' the .... his or her knowledge the attached.Bat 'sans anti accurate list of the names7iaddressestconresponding Parcel • enification Mintiber asskjned by the Weld County Assessor of the owners of the property (The surface to r -) within 500 feet of the property being conssittereda This list toms complied' utilizing the records of the Weld County Assessorble on the Weld County Internet Mapping site, P 41' a twomitcorwekLco.usi and has notlbeen ';-+ als invi list compiledfor the recordscithe assembled within thirty dins of the applications submission date. Property Owners W n K 500 Feet of Parcel* D95729202004 1� Date TrAccount Parcel per- I a A. R3a46005 09572'92O2O03 IOTA LAKES 'RANCH ESC 7142 L.AXOTA JOHNS :, R3946105 0957222O2O0wt MCKINNEY MEREDITH B Ra946105 'G95729202004 illIKI I NEY JEFFREY I_ jOHNSTOWNpC ,, ._2 R3946205 0957 20 S KEISHA R394620- , 005729 005 R TANNER 0 V599 ERMILION PEAK DR WINDS . - , : i 095729202006 7142 IL 'A. Leas RD JO NSTOa sit 6O5345629 ZAN DER STACEY 'M 0 ,-. BENJAMIN7132 iLAK T LOXES _ ill3.4611035 095729202 III ,ZANDER . JOHNSTOVAli, CO K6345629 fLAKOTA LAX RANCH HOMEOWNERSO 71 5 095729202008 JO TOWt aCO 805345829 Parcels: 14 Owner R s 20 Page 2 d4 WELD COUNTY COLORkDO LAND RECORDS AFFIDAVIT F, INTERESTEDiNTERESTED OWNERS SURFACE E 1011 3/2020 4.::.14 PM THE UNDERSIGNED,that to the test of Merriert list Ps a mia and aerate list names., adds4 and the r rig Parma Identifikation Numbera by the Weld Comity Assessx of the owners of ' surface estate) within 500 Meet of the property being ,ormardenst This rtst was fistimpited Witting the records or the Wail County Assessor availaSe on the Weld County Irttemet Mappingsite, httpriNmwAmmelld,cosasai and has not been e fitiothe original, The list complied far the records the- ! _ ..*Ets assambledwithMn thirty days of the e!* .ikons submission data x Prcceny Ors At in 500 Feet of Parcel 09572920. Mailing Address Account I - - - 7142 LAKOTA RD tlR39466 .' �� c.� >"! 9 '� t!' .,' �,., u* �iil'-l. '.�' 9: ` !' STO ,CO 806345629 IMIB JOH COUNTY iOWN i . ROAD CO 9604 R3946705 0957=02010 LAKOTA WICK HOMEOWNERS ASSOC a.. . a WELD COUNTY COLS LAND RECORDS AFFIDAViT OF INTERESTED LAND OWNERS SURFACE ESTATE THE UNDERSIGNED., States that to the tit. of his ,. list. is a true and accurate list Of the names, addresses". and the corresponding Parcel Ids p Number assigned by the Weld County or of the owners of the p (the surface estate)ta7 , ' ► feet of the; _ ered. list was ��lag5�� !�Lyy' compiled ■■ u� i�,■�I�■j.��,.j��, ,.��y+� jjj,,, Weld YI ■e pro being �.. '._ f',a, '`Th list �F Tas {zing the �(,. records of 7e C Court r va e .On -the Weld. .7 Internet Mapping site. h tp J � .corweld0 .: s t. and has h ' not been modified m the orighalia The list compiled forte records of the Weld Colin assembledwithin thirty days of the .applications submissiondate. ��_ � lee Weld County Treasurer Statement of Taxes ue Pend 095714mm:4 LEW pia U.= littAKOTA UM MANCH PUD CORR t A 91 5 + JUTILEY 7162 LAKOTA T JOHNS 80534-5629 e , s - r+ y •J=l P• ifgrs s 7'ip Ina urn. aa 'Year Own 2019 TIM Gnad Total Due sa if I (VIA 202.D Tax ad1tia20i19R k rTt Area 2.371 g 2 - 1 Jakutharity COUNTY SCHOOL D' NORTIFMN OCLORADO WATER. FROM' GE FIRE LYE (JO AIMS JUNIOR COLLEGE THOM , HIGH PLANS LIBRARY MX= NW 2019 • Credit Levy .sf$=r&-n*awl+ trlirart-Fa Lrii-sr+Mas*'Fi* aan# MA tarry 1 57 24.0000000 1:_t'l0 111 AMMO 32170000 644940000 Bea M 569936 1.6.49 a= 146,52 553436 S295. 59 $167.19 S149.65 ,.5 Vetches Sas lianas 7162: LAKOTA LAKES RD %TT] r+ a:TAM i+ r zw-aw r 7 Zas t-' * !!a f -t+ tIran-•-'"aea-.,r 4 as 13.009..56 SINGLE MAULS.- _- 1141,138 LAND SINGLE tom;E 1F�1Cy71i�.�i'41L'.R7.;'°� ,342 TholIPROP I!, Tani 50.00 .50.00 Actial Assessed 510.090 5650„680 $4ei,n0 ALL T( LIEN SALE AMIXINT3CT TO CHANGE DUE TO CURRENT . LIENHOLDER OR TO ADVERTISING AND DISTANT WARRANT FEES. Weld cues Office 1400 N 17th Avenue PO Box 458 -)Greeley, CO 80632 9704003290 Pursuant to the Web4n on Ordinance) the ached Statement of Taxes Duet issued by the Weld Treasury& are evidence that as is, date, ail current . nd prior year taxes related to .r parcel have been LH Signed: Data: 1-7 -O 19 Legal Descripto T Property Address (If Applicable) —7/462/.. Zone District a CA ° reposed #JL ts': r PLANNED U N IT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION G DEPAFOR PLANNINRTMENT USE DATE RECEIVED. 4 RECEIPT/AMOUNT � ---�� PLANNER ASSIGNED: APPLICATION RECEIVED BY CASE AO ASSIGN Ea r' ,Eirl �,rner _r 7 I. i, (minter- found on Tax 1.D. information, obtainable at the' Weld County Assessor's'i an additional or+vim.co.sheet) (I 7.e: _ 477 67 • ...r... ..,_. _____ duit 1nciud+� a1i Cots being it��ude�d rn th�' �,p�plE�tac'�n �a�'��. It a�+d�xicnal spac is requirc �if atibcoup I inn Trr�shi L .J North, Range b_ 'est d 11 i 5 irdin (V EC6 3;) is IsM2 5 is Proposed Zone District: Acres Open Space: Are you applying for Conceptual or Specific Guide? FEE OWNER(S) CF TIME. PROPERTY (it additional space is required,, attach an additional sheet) kJ?) Total Acreage. Cone cp Baal El Specific ofics lea m _ 'am tier Sit IA-, M 2 - Work Phone # Home Phone it acdrgr 6 koi a S'01/210_ Email Address "fri. iii)i-Lle--_ SCA Icsibi‘ on ta :es—H__i_Crarrrisq 0 iti cc -4-1 Addr s; "ft 2 City/Stet&Z1P Code JO �. (See Below: Authorization must accompany ap�.61i��C'�rf�t�t}n a signed by AutI�'eil Agern) APPLICANT AUTHORIZED AGENT Name; ashiver kh tioiwit .4 te- ; Home Phone a`V Email Address fin t �, Work Phone_ Address: a 7/ 2 1..��_�. 41 /ate c;tyt tate iP Code, a' Water: Ftct ii401 _ficcii I��i l'Lf�"iE S ewer: „ 2 Gas:' El ect rice: i, A` Phone: DL TR TS School: Post: ilrev0nica) that ail statements, proposals, a1-�tWc�r plans submitted with or I (We) hereby depose end state under penalties perjury Signatures of �►1i fee owners � - t within application are true and red to the best of my ow) authorization from fee owners r rust be propertycontained i must the i a letter of 1iltus� sign this application. If an �+u#l�ofized. A+�ef�t. signs, notarized evidence must be included � indicating the included with the ��li�c�ti��: If a corporation is the fee owner, � the undersigned, hereby request hearings b-efore the 'has the legal authority to sign for ��' corporation. I �� - �ic�n�r� concerning, the proposed Change of Zone . Wed Commission and the Board of County Commissioners Weld County Planning for bo described uriinoorporated area of Weld County, Cct ado:r ignature' Own () 1:.4 r or Authorized Agent Date P rte ure: iWrier f dAu hOr[1ed gel 4410669 06127/2018 12:53 PM Total Pages: 1 Rec Fee: $13.00 Doc Fee: $33.00 Carly Koppel - Clerk and Recorder, Weld County, CO a. THIS DEED, made on June, 2018 by LAKOTA LAKES RANCH, LLC, A COLORADO UNITED LIAEILITI COMPANY Grantor(s), of the County of Weld and State of Colorado for the consideration cf ($330,000.00) "Mime Hundred Thirty Thousand and callr dollars in hand paid, twty sells and conveys to TAMER IL SCHWARTZ MC HA RAE SCHWARTZ Gr e(e), as Joint Tenants Siose street address is lelansexeregePtATTEVItire010651 forty► of Weld, arxl State al Colorado, the fa/ewirg real property In the Oarqzfnd State to, to LOTD PLAT OP LACOTA LAKES RANCH PALD. CO O L ATE mtthrmii0 n wit.; D55() Side oocurnenYry FM urn, 2018 193.00 �(0 ifituranty Deed (Pursuant to 0-113 C.R.S.) also known by street at number as: 7152 LAMOTA LAKES ROAD, JOHISTOVM, CO 80534 with all its appurtenances and waffants the title to the same, subject to get taxes for the year 2018 and those specific Exceptions dried by reference to recorded documents as reflected in the The Documents wed by Grantee(s) to accordance with e Mean(Section 8.2) of the Convect to 8rwr and Sell Raal Woe real° to the above deserted reel minor trtulion utility easements. cabie 710; time spechacally described rights of third parties not shown by the pubilc =ads of whkh mss) has add knowledge and which ewe accepted by tat s) in accordance Kith Off-Fierad Title PASS (section &3) and Current Survey ReWE*(Section & the Contract to Bay and Sell Fib" Estate rotating to the above cr 9d real PtcPeny; inclusions of the Prwerty within any apaciat lax riot; Any special assessmentfIWe Improvements were not installed as of the date of Bu signature on the Contract to Buy ES Sett Foci Ems, der esssed Oar to & air Closing; end ter NONE LAKOTA LAKES RANCH, LLC, A COLORADO UNITED LIAEIUT'Y COMPANY RIG MEMBER DEBRA KSERL A/K/A • RA EBERL-IlltiOKLIER, MMAGING MEMBER Stale al Colored° County of WELD ANGELA M. KINDER NOTARY PUBLIC STATE OF COLORADO NOTARY ID # 20034017337 MY COMMISSION EXPIRES OC T OFz_ :� C2. 201 The foregoing Instrument was acknowledged before me on this day of Junes elt 218 by TODD as MUCKLER NC DEBRA EBERL AIWA DEBRA EBERL-MUCKLER AS MANAGING MEM ' L ' - FOR L A - RANCH, LLC, A COLORADO LIMITED LIAIILITT' COMPANY Witness my hand and official seal My Commission expires: IQ I 1104 ce SAG When Recorded Return to: TANNER D. SCIMARIZ NC ICBSHA RAE SCHWARTZ ` Form 13 dorsingkisedstetiehtml 25157280 (380626) rn i lUll 1111111 iii 11111 4460046 01/15/2019 10:52 AM Total Pages: 1 Floc Fee: $13.00 Carly Koppes r Clerk and Recorder., Weld County, CC Original Not and Deed of Trust Returned LO WHEN RECORD2D RETURN TO. 1600 Red bud Blvd, Ste 304 IVRICirlintS. TX 75069 PreparedfRiecc. vord by ; Independent Bunk REQUEST FO ULL PARTIAL RELEASE CE DEED OF TRUST AND RELEASE DV HOLDER OfR!t EVIDENCE OF DEBT NVIIIIOILIT PRODUCTION OF eVIDENCt OF DEBT Pit) PURSUANT TO § 3E-39-102 (I )1a0 AND (4I COLORADO REVISED g'xruirES JANUARY 11, 2'.019 - Datt TANNER a SciTwARTz All loKEISITA RAE SCHWARTZ Original Grantor illorros9et) 599 VERMILION PEAK DR, WINDSOlkco 101550 Currant Addresis or Original Grantor, Assuming Party or Currern Owner Cheek:here addre� is unknown INDEFEND 1T BANK - Original Iken.ericiitry (Lender) JUNE 26_ Zollg JUNE 27, 20 l g s - 4410670 _ County Root. No .andfor Film No. ;Mkt DooWpage No_ andtnr linnets Reg:. Nu. TO THE PL:131.1C USTEE ©f WELD COUNTY r a County of the Public Truax v -Hu ist the appropriate grantee to Whorl the ab&ve Dtcd of trust should grant an intn t ter the property cleScribed in the Dead ofTrt c) PLEASE EXECUTE AND RECORD A RELEASE OF THE DEED OF TRUST DESCR,J13ED ABOVE, The inrde_btedncsn secured by the Deed of Trust has been Fully oT panially paid anditor the purpose ariht Dead of'Tnat has been Wily or partially satisfied in regard to the property encumbered by the Deed of Trust as deny [bed threes as to (WI release, or in the tweet Of a partial acic■ c, only that portion of the rail property described as; (IF NO LEGAL DESCRIPTION iS LISTED THIS WILL. RE DEEMED A FULII RELEASE.) LOT 5,, CORRECTED PLAT OF IAKOTA LAKES RANCH V. a D., COWS TV OF WELD, STATE OF COLORI I. rursusit co § 3g -J9-102 (3). lare ° Revised Statutes„ in support Rogoest for Release oftetti 'flint, the undersigned, as the holder of the e ^itdence of debt secured by Ellie Deed of Trust described above, or a 'Milt IIIIStlnnc a CornpZiny atntIO 'ire d 1 nequbesi 1,e -it -ease r&lea�se al' [deed ee l�'i rte l pursuant to § IO2(3)(c),. Colorado Devised Statutes,. in lieu of the production err u, hibiiion ot the original evidence of debt with this Requelt for Release, certifies as re I POWS: 1. 'l'he purpose of The Decd of Trust has been fully or partially Satia9ed 2.. The original evidence ordabc Iri4M being a hibyitrd or p.roduG@d herewith, 3.. It is one at the I'. wing utilities (thcck applicable toxl. a, `llw'holder of the uri:ginni evidence of debt that is a qua li.i'r holder, as specified in 4 38-3 - 102(3)(a). Colorado Revised Statutes , that agrictzth i ii IS obligated Ea indemnify lie ?ublio Trustee [Cu ;may and all damages, cost$, liabilities. snd rettsnri.ablc Let urney kts incurred as a result of the n.ctic:n of the Public Trustee taken in accordance with Mid Kccluest for Re leasc; The holder of tl a evidence of debt regvc sUu2 the release al`a Deed of Trust About producing or exhibiting the original evidence jr Debt 'that +dteIMn to the Public Trastet o Corporate Surety Bocci as spceiltitd t1 f J849-i 02(3)(t), Colorado Revised Statutes; Or O A Thle lnsu nx e. Company .licensed and qualified in Colonado, as specillitd in § 38.39-102(3)(c), Colorado Rotted Statutes, that 'agrees that lit is obligated to indemnify the Public Trustee pursuant to statute as a result of the action of the Public Trustee takcn in accordance with this Regrt.st for Release and has: r""austd the indebtedness secured by the Deed ol'Trusl to be satisfied in Fi2ll- or in the Caere: or Partial Release, In the exteni required by Ile hal dm- of the indcb!tdnegs lndepcndeat Bunk, 1660 Rtdbud Boulevard, McK-nnety, TX 7551171 lame and Add,ress of the Current Holder °li he EviJencc o? Debi Secured by iced al°Tr-ust',Lender) or n:rm and addrmss at the `l"itie [MUM= Company Authorized to Rama Ow Release Gra Debi ter rust Date of Recording end/,or Re -Recording of Deed or Trust Rc cording, Information <4444 et la n Vice Pre 3 I Veda/Ilfr�a redacrri Baalevrard, ly+Cc:i n t. 75071 Harm, Tike n►td r ddn:35 cn. till i cct, Ageetis or Mornay of the Holder of the Evidence of DcbtSecared by Detd of `T'r'ust (Lander) Stalk: of TEXAS County of DENTON The forgoing Request Car Release atknowledge'd before} me on JANUARY t( .2014 (date) hy■ 41(1/21/2072 Date Commitsion. Ex.pd res 'If applit aide, mug ta'ItG of claim and name of current holder Notary Iblic - - Witness my hard and official sate RELEASE OF DEED OF TRUST VITHER.EA.S, the Grantor(s) named above by Deed of Trust,. graded natio flail property described in the Doud ofTrust to the Public Trustee of the County rd irea :above, in the Strip:. oftelorrreia. to be held in trust to ccur°e the payment otlthe ieldebtcdne-f ceierred to therein;; crud WHEREAS. Chu ndcbictlittess s tarred by the Deed of Trust. hos been fully tar partially paid and/or the purpose of the Deed oiTriast has beer- fully or partially satisfied according tar the- writtt l reticles t of the Jherlder of the c -vi dance or obit or Talc iusurancc Company n;ii harli` ed to request the release of the Dted Of That; NOW THEREFORE, in consideration of the pr eitii.srs and the payrrnestt' f tilt statutory sum. receipt which is hereby acknowlcd_ed. i . as the Public Truster in, theCounty named above, eta hereby fully and absclutel :: Face o ; .. ■ . t' brie real property described above in the Mod of Trust. tosether with an privilcg Signature � Kti�'t DEI4IS F. LARSON r .1 2i -el � ' r N Diary Public, Stale oat Texa; 1 . `�..�;.� Comm: Expires 04-23- . , rr A ,� 4 i' Notary ILA 1311;40395 Dc.puty Public Tru; t Nacharci Ferguson Jcrtuary 19$ 2019 R. 09/U9 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SU ESTATE THE UNDERSIGNED,EUNDERSIGNED,States accurate t to the best o his or her knowledge the attached list is a true and list of the names, adoires and the corresponding Parcel Identification Number assigned by the e1d 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 AWeld County Internet Mapping site, http..(/vim _C0_We1d.s0.Us, and has not �s�s�a� available on the _ z �►r�� of the Weld Assessor was been modified from the orugir�al. The list compiled for the r�� assembled within thirty days of theapplications submission date. Property wners Within 600 Feet of Parcel # 095 x'29 02005 Account I Parcel Owner 88586700 095729000048 BOTTERILL ADAM R8586700 09 729000048 �R8586800 095729000052 R8586800 ! 095729000052 88941623 095729000057 R3946000-095729202003 R.3'946105 BOTTERILL TERILL JENNIFER KEMMER DEBRA S a KEIMMER GORDON B 1.0113/2020 4:20:26 PM Signat e Mailing Address COULSON CAV ING CO INC LAKOTA LAKES RANCH LW 0957.2920 004 R3946105 09572920 004 83940205 095729202005 Farceist 'ii "MC INNEY MEREDITH Ba MCKINNEY JEFFREY L Date 7360 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 ' 25741 COUNTY ROAD 15112 ----- _ JOHNS T OWN7 GO 805349515 3609 N COUNTY ROAD 13 LOVELAND, Co 605382316 S H AI TZ KEISHA RAE Owner 'cords: `I G 7142 LAKO TA LAKES RD JOHNSTOWN, CO B05345629 7162 LAKOTA T LAKES RD JOHNSTOWN, CO 805345.29 Page I of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE best of his or her knowledge the attached list is a true and THE UNDERSIGNED, States that to the Parcel ld�rti��i�l�r I�r�l��r assigned accurate. list of the names, addresses, and the corresponding F urface estate) within �� . of This Weld County Assessor of the owners of the proper i by the property being considered. �� list was compiled utilizing the records �a� the Weld County Assessor available on the Weld County Internet Mapping ite, http://www.comeld.couus, and has not compiled records ords of the Weld County Assessor was The list for the r been modified from the original: assembled within thirty days of The applications submission date. Property Ovvners Within 500 Feet of Parcel # 095729202005 Account Parcel R3945205 095729202005 Owner R39463t95 [}95729202a06 IR3946405 SCHWARTZ TANNER D TAO HOPES LIVING REVOCABLE TRUST 095729202007 R3946405 p3946505 095729202007 0957 02008 ZANDER STACEY ZANDER BENJAMIN LAKOTA LAKES RANCH, HOMEOWNERS [ASSOC R3946605 095729202009 1 LAKOTA ,NCH LLC R3946105 095729202010 ° ar:cels 11 LAKOTA LAKES RANCH HOMEOWNERS AC Owner Records: 16 10/13/2020 4:2th26 PM Meiling Address Signature Date 599 VERMILION PEAK DR WINDSOR, CO 805503250 7142 LAKOTA LAKES RD J HNSTOWN, CO 805345629 7132 LAKOTA LAKES RD JOHTOWN, CO 805345629 7182 LAKOTA LAKES RD JOHNSTOWN,. +WN,. CO605345629 7142 LAKOTA LAKES RD JOHNSTOVVN, OD 805345629 7288 COUNTY ROAD 54 J OHMS T OWN, CO 805349604 Page WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE the best of his or her knowledge the attached list is a true and THE �..1 �1��'R I� �1 � � � States that to, -the corresponding Parcel IdentificationNumber assigned accurateby the Weld County list of the names �; ��r�� and �' : rface estatewithin feet of Ass9SSOr of the owners of the property (the s the property being considered. i •leis list was compiled utilizing the records of theWeld County Assessor available on the Weld County Internet Mapping site, It . iww _corweid.c .0 s, and has not inal. The list compiled for the records of the Weld County Assessor wa been modified from the orig� tc�r�� submission datas assembled within thirty days of the applic ivz Property Owners Within 500 Feet of Parcel # 095729202005 Purls: ill Owner Records: 16 Signature _LC (Kb__ Date 10/13/2020 4720:26 PM Page of IPS Stat Account Number R3946205 Legal Description LLRC L.5 LAKOTA LAKES NCH P LID co Account: R3946205 SCHWARTZ ` .T TAME. U 599 VERSION PEAK DR wffirtisoR,CO 80550i-3250 Year Charges 2019 Grand Total Due as of 10/13/2020 Tax Billed at 2019 Rates for Tax Arett2371 2371 Authority WELD COUNTY sc IDOL DMST RED NORTHERN COLORADO WATER lye FRONT RANQE FIRE RESCUE (JO AIMS JUNIOR COLLEGE T HOMPSON RIVER R a RICH PLAINS LIBRARY arixei Billed 2019 s l^"r"..^..ya Id County Treasurer meat of Taxes ue Parcel 095729202005 MillLevy 15.0330000* 24.00 00000 1,0000000 11.49 I.0000 63 000 3.5940000 3.2! 701J00 _ 64-.694000D Sims Address 7152 LAKOTA LA ES RD WELL Billed Payments Balance $54528 $545.38 $0 .00 Amount Values $126.77 AG -MEADOW HAY '- L. ND $8.43. FARM/RANCH RESIDENCE -IMPS 396.8S Total S53.56 $30.30 S27.12 $54538 A [& $73 17'!644 SO.GC Assessed 0 S&410 $l.lt 719 SS 430 -X ESALE Amman'sSUBJECT TO CHANGE DUE TO ENDORSEMENT F CURRENT TAXES BY THE —C.L DOR TO ADVERTISING AND DiSTRAINT VVARRA.NT FEES. Weld County Treasurer's Office 1400 N 17th Avenue PO Box 458 Greeley, CO 80632 Phone: 970400-3290 �.. aTcri0F LC Tfl RECANCE AFTER THE PIrsu►ant to the Weld County Subdivision Ordinance, the cached Statement of Taxes Due sued by the Weld County Treasurer are evidence that as of this date, all current and prior year taxes related to this parcel have been paid in full,. Signed: Date: \ Le) Lare-12),e_ 902,0 0 PLANNED UNIT DEVELOPMENT (PUDJ CHANGE OF ZONE APPLICATION Signature: Owner or Authorized Agent ate FOR PLANNING DEPARTWENT USE RECEIPT It/A OU # 1$ _ APPLICATION RECEIVED BY DATE RECEIVED: CASE# ASSIGNED: PLANNER ASSIGNEE): Parcel Number 9 C2 91 rt." �. (12 digit :number - found on Lrax inforrnalion, obtainable at the Weld r u s Assessor's additional , or rnww.co.wekJ.cosus) (On ude all lots being included in the application area.:II additic a spy f r ,) LEIh c to a Townshi �;f � North, lean estoigeti Haciufwi aieties3Li Legal � I�S --R)2( Property Address (If Applicable) 71 :Existing Zone District:. ti Proposed /oats: a kecttemirc Proposed Zone District: Acres Open Space: - ego,/ ie;Aer) Are you applytng for Conceptual or Specific Guide? Conceptual FEE O EF ) OF THE R0P T ' Of additiospace is requir , attach do a'tional sheet-) Name: tete Work Phone , r ,Hor Phone* 72() -$70- City/State/Zip Code Total Acreage Specific AffiettelliAle APPLICANT OR AUTHOR ZECIi AGENT (Sea Below- Authorization must accompany oppfr 4rt.r sionisicJ by Authorized Agent) Nam Work Phone # Address: 7/ 47, City/State/Zip Cope 1/14,11 ado, .' Hun r one #1 Ci i d' efiLs IY ta- Email Address 6 c :7); UTILITIES, Water kat ene , Sewer_ Gas: VP Ell Electric: - 3r '.- L'o-"-t Phone: DISTRICTS: school: _ Oa I Lr ett51,-) TS post: ; ,, a A (We) hereby depose and state under penalties, of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (ouOkno ledge. Signatures of all fee owners of Property must sign this application. If an Authorized Agent signs, a. letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the legal authority to sign for the corporation. I (we), the undersigned, hereby request hearings before the Weld County Planning Commission and the Board of County Commissioners concerning the proposed Change of Zone for the above descrijied unincorporated area of Weis County, Colorado: Signature: Owner or Authorized Agent Date �r 7 4157838 Pages: 1 of t 11/12/201$ 04:45 PM P Fee:$11.00 $ CarA X KoPpes. Clark and Recorder, iCounty, CO %. 6 ',# 117.11011Paithlt:fris AFTA RECORDING RETURN TO: TWO HOPES ITT 7142 Lakota Lakes Road Johnstown, CO80534 Q UITCL DEED THIS DEED, dated November 8, 2015, is made between TODD D. MUCKLER and DEBRA It EBERL, the "Grantors", whose address is 7142 Lakota Lakes Road Johnstown, CO80534 and the Trustee of the TWO HOPES LIVING REVOCABLE TRUST, dated November 1, 2015, the "Grantee", whose address is 7142 Lakota Lakes .Road, Johnstown, CO80534, for and in consideration of Ten and no/100 Dollars (10..00)x, in hand paid, and to transfer the asset into Trust, the Grantors hereby sells and quitclaims to the Grantee their interests in the following real property, situated in the County of WELD and State of COLD DO, to wit: Lot 6, Corrected Nat of Lakota Lakes Ranch P.U.D., County of Weld, State of Colorado. Also known by street and number as: 7142 Lakota Lakes Road, Johnstown, CO 80534 Subject to rights, reservations, restrictions, covenants, declarations, agreements and easements of record and all its appurtenances. { )407 TODD D. UKLER, Grantor RA R. EB E. L,i Grantor (CONVEYANCE DEED — NO DOCUMENTARY FEE REQUIRED) STATE OF C LO COUNTY OF go ) ss. The foregoing instrument was acknowledged before me this November 8, 2015, by TODD D. MUCKLER and DEBRA R. EB ERL, Crrantorsp WITNESS my hand and official seal. My r e�� br• commission expires ei . CHELSEA V 'CTOR NOTARY PUBLIC SLATE OF COLORADO NOTARY ID # 20114032419 MY COMMISSION EXPFREE JUNE At7ell J J WELD OU1'41 TY COLORADO LAND RECORDS, AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 425:15 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 Weid County Internet iviapping site, http.11W w.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 oft e applications submission data Date Proeerty Owners Within 500 Feet of Parcel # 095729202006 Account Parcel Owner R8536700 86700 88583700 095729000048 BOTTERILL ADAM 095729000048 I BOTTERILL JENNIFER R8586800 095729000052 KEMMER DEBRA S 88586800 Mailing Address 095729000052 KEN ER GORDON B 85941023 0957290000,57 83946005 R3946105 0957292O2003 COULSON EXCAVATING CO INC 7350 COUNTY ROAD 54 .JOHN TOWNf CO 805a49604 LAKOTA LAE ANCH LW 09572920 004 MCK1NNEY MEREDITH B 83946105 R3946205 095729202004 MCKINNEY JEFFREY L 25741 COUNTY ROAD 151 2 iJOHNSTOW , CO 805349515 3609 N COUNTY ROAD 13 LOVELAND, CO 805382316 7142 LAKOTA LAKES RD JOHN TOWN, CO 805345629 7162 LAKOTA LAKES RD JOHN TO N,. CO 805345629 095729202005 SCHWARTZ KEISHA RAE Parcels: 12 Owner Records: 18 Page 1 at S WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 4:25:15 PM THE UNDERSIGNED, States that to the best of fps or her knowledge the attached list is a true and accurate last 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.00.usi and has not been modified from the original. The list ccrnpiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet of Parcel 4 095729202006 Date Account Parcel Owner Mailing Address R3946205 ' 0957 9 02005 S C H A TZ TANNER 0 599 VERMILION PEAK DR WINDSOR, CO 805503250 P3946305 N 095729202006 TWO HOPES LIVING REVOCABLE TRUST 7142 LAKOTA LAKES R0 JOHNSTOWN, CO 605345629 ZANDER STACEY M 83946405 095729202007 f132 LAKOTA LAKES RD R3946405 095729202007 JOHNSTOWN, CO 805345829 _ ''u L 1 T L k RANCH 1 1'�'I E N E 7182 LAKOTA LAKES RD kR394�5o5 095 920200 J0HNSTOWN, CO 805345629 R394 6D5 . 095729202009 LAI " TALI R I I' LLB 7142 LAKOTA LAKES RD ► JOHNSTOWN, N, CO 805345629 iLAK0�T LA1 E N H E '1J' NE 7288 COUNTY ROAD 54 R3946705 5 292 010 JOHNSTOWN: CO 805349604 DEAN ELEANOR R REVOCABLE LIVING R4418706 ' 095729203007 TRUST 84418705 095729203007 GOSNEY JOHN L REVOCABLE LIVING 3104 LAKE FOREST PARK RD TRUST STURGEON BAY,\Ai542359+147 Parcels: 12 Owner Records: 18 Page 2 of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF I TERE TED LAND OWNERS SURFACE ESTATE 101/3/2020 4:25:15 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.coausi 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 data Property Owners Within 500 Parcels: 12 Feet of Parcel 4 095729 02006 Owner Records: 18 obidterteD ate ignature,r eel/ ksatel Date Page 3 of -at Weld County Treasurer Statement of Taxes Due N Account Number R3946305 Legal: Description LLRC L6 LAW -IA LAKES RANCH PIM CORR Parcel 095729202006 Sims Address 7142 LAICOTA LAKES RD WELD Account: F3946305 TWO HOPES LIVING REVOCABLE TRUST 7142 LAKOTA TA LAKES RD JO TOWN, Co 80534-5629 Year ''019 Charges Tax Billed 54012.98 Payments 401238 Balance 50.00 Grand Total Due as of 10/13/2020 _ Tay Bilted at 2019 Rat©s for Tax Arca ?371 -2371_ A.uthorit WELD COUNTY SCHOOL MIST RE5J NORTHERN COLORADO WATER INC RQ t, RANGE FIRE RESCUE (JO 1OR COLLEGE HO\IPS O,a'4. RIVER REC WC': PLAINS LIBRARY Bil 1r �.r rl 7 � 4J a. We er�+ r r ' ..�e _ 1 c a n'�... �7 . Levy 15.0380000* 24.0000000 1,0000O00 11.4910000 &3540000 3.5940000 3.2170000 64.6940000 Amount S932r8 S 1,488.72 $62..03 $712.70 $394.14 $222.94 $199.55 54,012 98 Values Actual SINGLE FAV l $s S164,536 LAND SINGLE F .ltEE. - S703,112 IMPROVENITS S0.00 Assessed $11,760 S50;270 Total SS61648 $62,0.30 Aa. TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DuE TO ENDORSEMENT OF CURE Ersii TAXES BY THE L ENi OL®ER OR TO ADVERTISING AND DISTRAINT VVARRANT FEES_ i, a Weld County Treasurer's Office 1400 N 17t venue PO Box 458 Greeley, 00 80632 Phone: 970-400-3290 Pursuant to the Weld County Subdivision Ordinance, the attached Statement of Taxes Due issued by the Weld County Treasurer are e ridence that as of this date, all current and prior year taxes related to this parcel have been paid in full. Signed: Date: PLAN NED UNIT DEVELOPMENT (PUD) CHANGE Of ZONE APPLICATION. FOR PLANNING DEPARTMENT USE RECEIPT # /AMOUNT 4 1$ APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: Y Parcel NI Number tnr.i�a��r�r�lc�pia.�� oil_ try 7 (12 digit numbEr - found on Tax ID. information, obtainable at the Weld County Assessor's Office, or rr��r_ rictud ail lots being included in the application area. If additional space is required, attach an additional sheet.) . Ir•A. ' leitz vett)'/cnA9, Township 6 North, Rang est t\ (0 Rat 3c---.1 Legal escrip tior. i Property Address (f Applicable) 71 Existing Zone District: Pap 6 Proposed 4/Lots: 1)c" :1?:el Proposed Zone District: s eho/cr Total Acreage: Acres Open Space: fr") Are you applying for Conceptual or Specific Guide? Conceptual D FEE OWNER(S) OF THE PROPERTY Of additional space is required, attach an additional sheet.) Name: al cum + cec. Work Phone # Address: City/State/Zip Code Can oft Specific Aialdt APPLICA NT OR AUTHORIZED AGENT (See Below: Authorization rawst accompany appr/cataons signed by Authorized Agent) Name: : re MAC $(4; SI I Work Phone Address: 700€1" cit istatelZip Code :Willi M ' `�i'" '' -' ' fErn l Address r "t r c _' CM 140'be' ��o�� Ph�n��# 11 eta UTILITIES: Water Wet ex -1E Sewer: -a__— r Gas ? t Electric: Phone: QiSTR'ItT ; School: Post: (We) hereby depose and state under penalties of perjury that all statements proposals, and/or plans submitted with or I contained within the application are true and correct to the best of my (oui)knowledge. SIgnatures of alt fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be . a .i corporation is the fee owner, notarized evidence must be included indicating the application. if a included with the oPR�hereby request hearings before the the undersigned signatory has the legal authority to sign for the corporation. I (we), • � the Board of County Commissioners concerning the proposed Change of Zone Weld County Planning Commission and for the above ascribed unincorporated area of Weld County, olora&o: kit Signatu Agent} ure: Owner or Authorized Agent Date to/H,402° 3873847 Pages: 1 of 09/17/2012 /2012 04:23 PM R Fee;$11.00 $I I ..0 0 Fee., : $4 Th Steve Moreno, Clerk and Recorder-, Wel Mt CO Sill WI% Irlielifeiki*4I WARRANTY DEED THIS DEED, made this lath day of September, 2012, between Todd Muckier and Debra Re Sheri of the County of Weld and State of Colorado,. grantors), an.d Benjamin S. Zander and Stacey M. Zander whose legal address is 7132 Lakota Lakes.Roads Johnston, CO 80534 of the County of Weld and State of Colorado, grantees: WITNESS, that the grantor(s), for and in consideration of the sum of FOUR HUNDRED THIRTY SEVEN THOUSAND AND 00/100 DOLLARS ( 37,00 00), the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantees; their heirs and assigns forever, Joint Tenants, all the real property, together with improvements, if any, situate, lying and being in the County of Weld and Si ate ofColorado, described as follows: Lot 7, Corrected Plat of Lakota Lakes Ranch, Pith., County of' Weld, State of Colorado. also known by street and number as: 7132 Lakota Lakes Road, Johnstown, CO 80534 TOGETHER with all and singular the hereditatnents and appurtenances thereunto belonging, or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor(s), either in law or equity', of: in and to the above bargained premises, with the hereditaments and appurtenances; TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their heirs and assigns forever. The grantor(s)1 for himself, his heirs, and personalrepresentatives., does covenant, grant, bargain and agree to and with the grantees, their heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good., sure, perfect, absolute and indefeasible estate of inheritance, in law, 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, bargains,sales„ liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except general taxes for the current year and subsequent years, and except easements? covenants, conditions, restrictions, reservations, and rights of way of record, if any. The Ito s) shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantees, their heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof_ The singular number shall include the plural, the plural the singular, and the use of any gender shall be applica►bre to all. genders. IN WI NESS WHEREOF. OF. the grantor has executed this deed on the date set forth above. Todd Mueller By: Debra IL flied, his attorney -gin -fact Debra Ebert State of Colorad , J J County Of lid Theforegoing instrument was acknowledged before me this September 14, 2012, by Debra It Eberl, Individually and as attorney -in -fact for Todd Madder My Commlion ei res: 6)ve • •i! :.f.,, t• • • WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 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 an the Weld County Internet Mapping site, http:// +w.co.WeId,CO.us, and has not been modified from the original. The list compiled for the records of the Weid County Assessor was assembled within thirty days of the applications submission date. Property Owners Within SOS Feet of Parcel # 09572 02007 Account Parcel R8586800 095729000047 Owner NAHA LR.ET T A. 88566700 095729 00048 88586700 095 29000048 P6586800 EOT T ERILL ADAM BOTTERILL JENNIFER 0957290010052 88586800 KEMMER DEBRA 095729000052 R8586900 00 095729000053 KEIVIMER GORDONB ,r 41 Signature /702-0 Date Mailing Address 10/13/2020 4:29:35 PM 25809 COUNTY ROAD 15 1/2 JOHN TOWN, CO 8053495/5 SISKOWSKI BECKY ANN 88586900 095729000053 SISKOWSKI KI DEAN EDWARD RB9 1623 095729000057 7360 COUNTY ROAD 54 JOHNSTOWND CO805349 04 25741 COLI tY ROAD 15 1/2 JOHN TO N, CO 805349515 25671 COUNTY ROAD 15 1/2 JOHN TOWN., CO 805349515 COULSON EXCAVATING CO :INC 83946105 095729202004 MCKUNINEY MEREDITH B Parcels: 17 3609 N COUNTY ROAD 13 LO► 'ELAND, CO 805382316 Owner Records: 27 Page 1 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS ERS SURFACE ESTATE 10/13/2020 4:29:35 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 (tf a surface estate) within 500 feet of � - recordslist of the Weld County the property being considered. This lst was compiled utilizing the Assessor available on the Weld County Internet Mapping site, http://www.co.,Weld.CO.Ut, and has not been modified from the original. The list compiled or the records of the Weld County Assessor. was assembled within thirty days of the applications submission date. Properly Owners Within SOO Feet of Parcel # 095729 02007 Account 1�3946145 Parcel 095729202004 R3946205 Owner MC NNEY JEFFREY L 095729202005 r SCHWARTZ KEISHA RAE R3946205 095729202005 SCHWARTZ TZ TANNER D R3946305 095729202006 Mailing Address Signature 'Date 7162 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 TWO HOPES LIVING REVOCABLE TRUST R3946405 095729202007 ZANDER STACEY M R3946405 D95729202007 R3946505 ZANDER BENJAMIN S 599 VE.RM.ILION PEAK DR WINDSOR, CO 805503250 7142 LAKOTA LAKES RD JOHNSTOWN, CO 845345629 7132 LAKOTA LAKES RD JOHNSTOWN, WN, O 805345629 09572 202008-ThAKOTA LAKES RANCH HOMEOWNERS 7182 LAXOTA LAKES RD ASSOC R3946605 09572 20 009 LAKOTA LAKES RANCH LLC R3946705 095729202010 JOHNSTOWN, OWN, CO 805 45629 a LAKOTA LAKES RANCH HOMEOWNERS ASSOC Parcels: 17 Owner Records 7142 LAKOTA, LAKES RD JOHNSTOWN. CO 805345 6.29 725e COUNTY ROAD 54 JOHNSTOWN, CO 805349604 Page 2 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:29:35 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 tion 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://vvwvvico_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. Property Owners Within 500 Account p Parcel R3946805 095729202011 R3946805 805 095729202011 R4418506 109572920 005 R4418506 095729203005 84418606 095729203006 R4418706 84418706 R4418806 Owner Records: 27 09 729203007 095729203007 Feet Owner MCGILL JAMIE of Parcel # D95729202007 CHRISTENSEN SEN DUSTIN SCHROEDER BARRY WILLIAM SCHROEDER NICOLE HELLER SCHROEDER NICOLE SCHROEDER BARRY DEAN ELEANOR R REVOCABLE. LIVING G TRUST GOSNEY JOHN L REVOCABLE LIVING TRUST 095729203008 GOSNEY JOHN L DEAN ELEANOR R REVOCABLE TRUST Parcels: 17 Signature ite2M71:2020, Mailing Address Date 7080 COUNTY ROAD 54 JOHNSTOWN, CO805349 04 25341 HERITAGE CT JOHNSTOWN, CO 805 49550 25341 HERITAGE CT JOHNSTOWN, CO 805349550 3104 LAKE FOREST PARK RD STURGEON BAY, WI 542359147 3104 LAKE FOREST PARK RD STURGEON BAY, WI 542359147 Page 3 cat4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/41 3/2020 4:29:35 PM THE UNDERSIGNED, States that to the best of his or her knovvleoge the attached list is a true and accurate list of the names, addresses, and the corresponding Farrel 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 LitiLizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.00.wold.00rus, 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 cats. Property Owners Within 500 Feet 7 P re • /0/frile-2-c Signature • ;.,—so: ft. of Parcel # 095729202007 i 1. Lan .r • Date :v. C :a .I N.. i.-.• jY W.IV I, t...•_.„., r• s e� e_'r"ilei ! I•. I 1 r,`r l A, pl •f I ~ -•rY •• L' `J• • II •• I dR^ ".1' :7 , • M I tt Y i l ,j C• �7� AA� •�r� �� ,%t :•. Y �w.74• s r1 i .-r , r t. ;r Parcels: 17 Owner Records: 27 Page 4 of 4 lad CountyTr Statement of Tax Account Number R3946405 Leal Description LLRC 1.7 LAKOTA LAKES RANCH PUD CORR Account.: R3946405 ZANDER BENJAMIN 7132 LAKOTA LAKES RD JO NT WN., CO 80534-5629 Year 2019 Charges Tax Grand Tata1. Due as of 10/13/2020 Tax Billed at 2019 Rates for Tax Area 2371 -2371 Authority WELD COUNTY SCHOOL DIET RE5J NORTHERN COLORADO WATER (NC FRONT RANGE FIRE RESCUE (JO AIMS JUNIOR LfVOLLEGE THOMPSON RIVER REC HIGH PLAINS LIBRARY Taxes Billed 2019 * Cm -fit Levy ur S Parcel 095 729202007 Billed $2,563,62 Mill Levy 15„0380000* 24.0000000 1.0000000 11.4 10000 6.3540000 3.5940000 3.2170 000 64.6940000 r 111•111. - Slurs Address 7132 LAKOTA LAKES " RD WELD Payments $2,:563,82 Ancaun t Values $595.96 $951.12 S39.63 $455.38 Total $251l 142.43 $127.49 $2,563.82 SINGLE FAM RES.- LAND SINGLE PAM.FAM.RES- INI.PROVENTTS Actual $163$78 $390,310 $554,188 Balance $0,00 $� Assessed SI 1,720 $27,910 S39,630 ALL TAX LIEN. SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT NT OF CURRENT TAXES BY THE LIE*iO DER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. �- _ Weld County Treasurer's Office �� 4 400 17th Avenue GPO Box 458 !. Greeley. CO 80632 Phone: 970-400-3290 - u t to the Weld ratSubdivision Ordnance the attached Statement of Taxes Due issued by �� County� dateall current and prior year t Weld County Treasurer are evidence that as of this s taxes related to this parcel have t_ PLANNED DEVELOPMENT (MS CHANGCHANGE OF ZONE APPLICATION FOR PLANNING -ARTM air USE DATE RECEIVED; - RECEIPT t IAMIT 1 CASE. ASSIGNED: .APPLICATION REcEivED BY PLANNER ASSIGNED: I (We) hereby depose and ate under penalties of perjury Mal. ail statements, _ , L F and/or plans bm d with or *aired within the application are true end morea to the test of my (our)knmitedet Signaturesall fee vas of property must sign th[s application, If an Authorized Agent signs. a ielaer of au sue, from fee ors must be itnodded with the tapplication.a If a caw -ration as the owner, notarized nc must be minatory has the legal authority to sign for the rat n. I (we), the ed, hereby Weitidi Cry Planning Commission and the Board of County iCrommissionera ding the proposed. Change of Zone for t .above . �described u ni ',?i'�'!� - tumid County, C OI Q 9 2 T F /4 1 jr , I i i ? e -�--- y� Owner SiYI h . �i:.t Parcel' Number so0,O1_'_ yn,' {� _ ■yam■�� ' - �+j �i fie Weid (4 2 I R ��r a told on Th f• information, . ta a t pde ail lois tea° incitsieci awl:cation: area, if adtirmansi space Legal Property Adidrs Of ) Exsn g Zone fsct_D) Froposec1 At V lift Proms Zone 'D►istd : Acres Carr cam_ Are you dying for Conceptual ar Speatc e? ris. Oficei rforc d, eld =AA no Tutemship66 Not% n aztrit„L_ Cone FEE OMENS) OF THE PROPERTY t space to rectuiTeur attach1 IP additiOrtai ShE450 Name. La Work done A hst,ril gs.- City/State/Tip Code I A pp LICANT OR AUTHORIZED AGENTackurtstonscriiThistannawrio ap Kama F .V Work Phone r i Gitry/Stuterap Code _ DISTRICTS: It_ 11) reet f ;s,5o53L1 sec Total Spec IMO Owneror Authorize) teiterobi.. 8 : 'I 2 ''""seuR Fest:S18.110 0 Fee;- -1 '. m Wet ir. Rucerart, Meld Car IVO VIA MI QTJrf THIS DEED is &geld azad, wade bangs Debra it Ebert, Todd Muckier mid vi Krebs one,00r we di= one) , o'er County onlitild. State. of gblpncle, and Lakota Lakes Vic, Homeowners Associaa a nonprofit corporation duly Wiz, d by virtue of the laws of the Star ids �'- - "Cream? whoselegal 4 05 R dtat the Gratort, for and in consideration or we:kb cousidention, the receipt and sufficiency of width I beretry acluiewledgrd,. dims :se, le,, &di and QUITCLAIM unto the Wit,, its,successors and assigns* forever,interest, claim and List which the Grantorin and to the nal Family,, with improvements tharan, boded in the County of Weld, and State of brad°, ides.% ibed as follows.: OUTLOT Air CORRECTED PLAT OF LAKOTA LAKES RANCH PAID, ' 1 _. F Wan, STATE.OF COLOPADO.. rrr. , into gamria title .' interest, in and tall ofthe , gas and t: under theddescribed:above: minerals, righis TO VE 1' ' HOLD _=hill ,. �, .� I r with a $ i ' _ the appU fl a. . and prbeileges theren, belonFor in ■wrywrise4and all tilt t af the — ntirs either in law ' equity, W the only proper ases benefit and &hoof of the Grantee, and its s and . forever. ST ,' 1OF COLORADO County of F, the &ger has exrecttied this deed on the date set forth abow, ) I' 'I The frirtgning inn was acknowledged berm me this VANESSA JASI. E • Notary Public State: of Colorado Notary ID 201140 _O 108. Commission Expires May .1 9, ?019 STATE OF COLORADO County of WELD ) Todd Maier The firegoing instrumentowi;/mss' Nei. 51O6. Fn. las QUITCLAIM DM Ma a Curpratimai ter day ofdun., 2017 by I: at ; L; Witnms myhand and ifsteal - - entmeanitink b7 BIM lwiudder. Iii EL COUNTY COLORADO LAM!RECORDS AFFIDAVIT F IN ERESTED LAND OWNERS SURFACE ESTATE 1011312= 4:31:40 PM THE UNDERSIGNED: Slates t to the best .his or her knowledge Nilo: IIP i t' list. is actrue and accurateis of the - , addresses, and the corresponding Parcel I i h - ni Number assigned by the Weld County Assessor of tthe owners of the ( a surface estate) liin 500 feet of the property being considered. This list !►pile Wilting the recordss of the Weld County Assessor aistailabille on the Weld County Internet Mapping p site. http_ wwwx m ld.c o , and hes not been inodtried from. ,.-, a' s nal The list _ 0 T t, for the recorris cif me Weld County Assessor was assembled I within thirty days of the applications 'submission dater { Property Owners Within 500 Feet of Parcel # 095729202008 Date Account PSI Mailing Acidness 09572CC00033 ` 13 _ 095729 CROISSANT T FAMILY FARM LL . 047 I LORE iI. 49316 COUNTY ROAD 833 BRIGGSDALE CO 1 1931 9i 25809 COUP ROAD 15 102 15 BOTH. IL ADAM R8586700 TYE ILL JENNIFER. R 095729000052 R3945805 2 ENVIER DEBRA klEhWIER GORDCN B 095729202001 1 H : TENSEN' DUSTIN C 7360 COUNTY ROAD JOHNSTOWN CO 8052496044 25741 COUNTY ROAD 15 1 ij014.4.41bTOWN., 805 51.5 095129202001 0957292132002 ,MCGILLJ.AMIE A. -Toes COUNTY , RICHARDSON BRYON Parcels: 1 Owner Records4. J 'HN TOWN* CO 7182 H. D A LAKES RD JHNSTWN, 0 80534 Page .1 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF t! T. iE T ND OWNERS SURFACE. ESTATE 1011 4:31:40. PM. THE UNDERSIGNED, States that to the t of his or her attached a true wid mat list of the narnest addresses, andcorresponding Parcel Idenbficalion 'Numbs& 'by the Weld County Assessor of the owners of the p (te surface estate) ' 500 feet of the property being considered, This '!fsi!ea4 was utilizing g d the ' * t �s of the Weld County Assessor available on the Weld y Intewing Oat httwiNinaco,weld.coaus, and has not been modified 'from the originals come far the records of I Weld County Assessorb; assembled within thirty clays of the subnitssion darte4 )01 Property Owners 500 Feet of Parcel* 095729202008 _ T Parcel { Owner r Mailing .Address 7142 LAXOTA LAKES RD 095729202003 LAKOTA LAKES RANCH LLC 05 0957129202004 'MCKINNEY MatED1TH B R394k6105 Pmt ,29202004 Ifikaaitt62135 C IN.JEFFREYL 096729202005 SCHWARTZ KIISHA, RAE 095129202005 FSC R394630 095729202006 39464105 ARTZ TANNER U 7162 "RD JOHNSTOWNy, CO 806345329 599 VE.RMILION PEAK DR IN ' , CO 80 250 'Sc HOPES LIVING SCALE TRUST 0951 29202007 I.NDER STACEY M R39465 096729202007 ZANDER BENIN .0967 X2020 LAKOTA LAKES RICH HOMEOWNERS ASSOC Parcels: 1.5 ,Overner Records: 7142 LIAM 'LAKES. RD JOHNS e. CO 845345€29 '13 T JOHNSTOWN, CO 805345629 T182LAKOTA LAKES RD JOHNSTOVFINI Pa WED COUNTY COLORADO LAND RECORDS AFFIDAVIT OF N N RLioND OWNERS SURFACE ESTATE .i O/ 1.320 4:.31 PM THE UNDERSIGNE02 States that to the beIt his her knowledge Me Stied list is a true and accurate l' addresses" and the opm3sponding Parcel Identification taunter assigned by the Weld County Asses„,icior at the owners ail the property (the e ) within 500 feet of the property being dered, This list was p Weldy tardy Assessor available on the Weld County Internet g Met httviettiwitscomeltatus, and has nal ;been modified flan the original_ The list compiled for the s of the Weld CountyAssessori mblwithin thirty days of the appplicationsbr + dater r ithin Feet of Parcel _*. 095729202008 LAcoodtzt Parcel 095729202009 R3946705 Owner LAKOTA LAKES RANCH UC 282C201 LAKOTA LAKES RANCH HOMEOWNERS ASSOC 841870 06-91729203001 1 DEAN ELEANOR RLIMNG TRUST !PAM 8706 GOSNEY JOHN L REVOCABLE N TRUST mails: 15 7142 LAKOTA LAKES RD JOHNSTOWNI CO 6053456,19 7288 COUNTY ROAD 54 JOHNSTOVAI, CO 805349604, 3104. u: FORESTT PARK RD STURGEON .Y,, 542359147 Owner Records:22 Paget 3 of 4 ELD COUNTY COLORADO D RECORDS i of AFFIDA T OF INTERESTED LAND OWNERS SURFACE ESTATE THE UNDERSIGNED., Slabas that to the best of his or her knowledge a bueand. accurate list of e names, addresses, and the consponding P. C nttlNumber assigned by the Weld County .Assessor cd the owners .ot the property (the sudace. estate) min SOO feet of the prop being considenxla This list was piled: utilizing the records of the Weld County Assessor available .on the W . 1. County [rile met tvlapping site, htlixthhiww,co.weldscorusi and has not been modified from. the original The list compiled for the records of the. Weld County Ass. nt* vitn assembled within this days of the. a. i 'tons submission date° Weld County 'Treasurer Statement of Taxes Due t 095129=0B Account Nutaba X50 F Levi ti on WitiOUnifi .A LAKOTA LAKES_{'A CI. KM CORR Account R3946505 LAKOTA LAKES RANCH HOMEOWNERS ASSOC 7182 LAKOTA JOHNSTOWN, CO 80534-5629 F 1 m Ye s r 4- -'a x ... L. 7'c r #W 41• . Fig —121 is —a. * 3 a•'Sl!s'1,, R a . aisa Toiallive as at 111Magan sag J •� L Sias Addartzu PGlr'31 a:it "Ian:gust SALE STS ARE SST TO CAGE. DUE TO ENDORSEMENT OF CURRENT TAXES BY LIENHOLDER OR TO ADVERTISING DISTRAINTWARRANT FEES woo CHANGES KW TREASURERS OFFICE WILL NEED TO BE CON! 1 PRIOR TO Ai- t ER THE FOLLOWING DAMS: PERSONAL ' PROPERTY, REAL PROPERTY, AND WWII MUM - arI TAX HEN :SALE REDERIPTION AMOUNTS MUST BE PAID BY CASH'CASHEWS CHECK POSTMARKS ARf E NOT ACCEPTED ON TAX LIEN SALE REDEMPTIONPAYMENTS. PAYMENTS MUST BE IN OUR ctenct Ale PROCESSED BY'THE LAST SLOGNEW DAY OF THE 1 C NT _ Validr Trees.Office 1400 N 1 r Avenue PO Box 458 Greeley! CO 063 Phone: 97000-329 Pursuant to the Weld County Su rvisio-n Ordinance! the attached Statement of Taxes Due it by the Weld CountyTreasurer n that as of this date, all current artiii prior year taxes related to this pawl have been paid int We Signed:. 5 PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION FOR PLANNiNG DEPARTMENT USE RECEIPT # /AMOUNT # 1$ APPLICATION RECEIVED BY - 40191 Parcel Number f 2. digit number r - found on Tax I.D.infarmation, obtainable at the Weld County Assessor's Officer or ww.co.weld, r (� If additional space, Met. are additional sheet.) (In urn all lots hieing Included in the application area, em dr- 9, TownshipLih North, Rang DATE RECEIVED: CASEIt ASSIGNED: PLANNER ASSIGNED: Legal Description atn-M-13kcc&kc4t � Property Address (if Applicable) I 1 1 � ALL -9/6 Zone District: Existing Zone District: -Pap/ Proposed Proposed #/Lots: Acres Open Space: s Are you appiying for Conceptual or Specific Guide? -_ Conceptual j�(T i5 fre FEE OWNER(S) OF THE PROPERTY (Si -dditional space is re aired, attach an addiitiontal sheet) F7 6 ri a lc J2, e gc,c3iryii eter- Total Acreage. '. Specific /11 /ahQth4' /lab. of e -r Work Phone # Home .Phon 64- Address: — { Ci / tate,P' i Code e - Email Address Minfruir APPLICANT OR AUTHORIZED AGENT (See Below, Authorization must accompany applications signed by Authorized Agent) . tot -Link ,44 a Nam Work Phone# Address: City/State/Zip Code UTILITIES: Water: Sewer: Gas: Electric: Phone: DISTRICTS: School; Post: Email Address state under of perjury that all ststernentsL proposals, and/or plans submitted with or I e�� hereby depose and penalties � i�r��tur�s o , all �� o�+r��rs �f contained within the application are true and correct to the best of my (our knowledge. all fee ee must be must sign this application. If an Authorized Agent signs, a letter of autboriz&ien from a the property the application. If a corporation is the fee owner, notarized evidence must be included indicatingr hrr inolu�de� with P'R thorn to sign for the corporation. Iwe), the undersigned, hereby request hearings before signatory has the legal authority � Weld County County Planning Commission and the Board of County Commissioners concerning the proposed Change of Zone for the a$4a/Z4t scribed uninccrpc ted area aWeld ounty, Col rado: _ �i ryaturrs: Ownerter �utharl�� A��nt >DateSignature: 0►ner or Author.�zeent Nile Signature:NOP- ei J A F set QUITCLAIM DEED THIS DEED is dated , and is made between DEB T LID MUCKLE and ELI KREBS (whether one, or more than one), the "Grantor,,, of the County of Weld and: State of Colorado, and. L KOTA LAKES RANCH. LL _,.,. a limited liability company duly organized and existing under and by virtue of the laws of the State of Colorado , the "Orantee," whose legal address is P.O. BOX 74,JOHNSTCAWN. Co 80534 of the County of and State of Colorado Weld WI'D'NES, that the Grantor, for and in consideration of the sum of TEN DOLLARS, $10.00), the receipt and sufficiency of which is hereby acknowledged, does hereby remise, release, sell and QUITCLAIM unto the Grantee, it's successors and assigns, forever, all the right, title, interest, claim and demand which the Grantor has in and to the real property, together with any improvements thereon, located in the County of Weld and State of Colorado, described as follows: Lots I, 2, 3 4 and 5, and Outlot B and Outlot I) of La ota Lakes Ranch, Weld County, Colorado, according to the Corrected Nat of Lakota Lakes Ranch P. .D. thereof recorded on August 30, 2005, at Reception No. 33179277 in the records of the. Clerk and Recorder of the County of Weld. Colorado. TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging, or in anywise thereunto appertaining, and all the estate. tight, title, interest and claim whatsoever of the Grantor, either in law or equity, to the only proper use, benefit and behoof of the Grantee., and it's successors and assigns. forever. IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above. ELI KEBS STATE OF C{flLGRADO County of _ 0 ) ss. MOM 11111 1111 1111 101111 11111 11111111111111111111 3411868 00/14/2008 04:21P Weld Gouroty, CO 1 of 1 Fi 6.00 D 0.00 Steve Moreno Clerk & Recorder The foregoing installment was acknowledged before ine this -1 da,of • Witness my hand and official seal. My commission expires: l Name and Address of Person Creating Newly Created Legal Description (§ ri8-35-106.5, Lr.R.S, ) o.Revi 1-06,QUITCLAIM DEED 200fo , byCA-rea- j--tbaat b1¼ (Page 1 of 1) WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED TED LAND OWNERS SURFACE ESTATE 10/13/2020 4:33:44 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.couweid.comus, 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. Property Owners Within 500 Feet of Parcel # 095729202009 R0919301 R8586700 R8586700 Parcel 095720000033 R8586800 095729000048 095729000048 835805 095729000052 83945805 y, Signature Date Owner Mailing Address CROISSANT FAMILY FARM LLC B OTTER I ILL ADAM BOTTERILL JENNIFER 095729000052 R3945905 KENNEP DEBRA 09572920 001 095729202001 095729202002 KEMMER GORDON B 49316 COUNW ROAD 83 B I GSDALEI OO 806119319 7360 COUNTY ROAD 54 JOHNSTOWN, CO 805349604 25741 COUNTY ROAD 15 112 JOHNSTOWN, CO805349515 CH RI TEN EN DUSTIN C 095729202003 Parcels: 13 MCGILL JAMIE A 7008 COUNTY ROAD 54 JOHNSTOWNI CO 805349604 RICHARD ON BRYON LAKOTA LAKES RANCH LLC Owner Records: 19 7162 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 7142 LAKOTA LAKES RD JOHNSTOWN, CO 8053 5629 Page 1 cf .4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 4:33:44 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 fist. was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.w.weld.co.ust and has not been modified from the original. The list compiled for the records of the Weld Count, Assessor was assembled within thirty days of the applications submission data rte-_ Property Owners Within 500 Account R3946105 83946105 R3946205 R3946205 R3946305 R3946406 83946405 R3946505 R3946605 Page 2 of 4 Parcel 095729202004 09572920 004 095 29202005 095729202005 095729202006 Feet Owner Signature of Parcel # 095729202009 NICKINNEY JEFFREY L SCHWARTZ KOSHA RAE SCHWARTZ TANNER D Two HOPES LIVING REVOCABLE TRUST 095729202C07 ZANDER STACEY M 0957 9202007 095729202008 095729202009 Parcels: 13 ZANDER BENJAMIN LAKOTA LAKES RANCH L L Owner Records: 19 Mailing Address Date 7162 LAKOTA LAKES RD JOHN TOWN, CO W534.5629 599 VERMILION PEAK DR WINDSOR. CO 805503250 7142 LAKOTA LAKES RD JOHN TO N„ CO 805345629 7132 LAKOTA LAKES RED. JOHNSTOWN, CO 805345629 7182 LAKOTA LAKES RD JOHNSTOW 1, CO 805345629 7142 LAKOTA LAKES RD JOHNSTOWN& CO 805345629 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:3:45 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 properly being considered. This list was compiled utilizing the records of the Weld County Assessor availabre on the Weld County Internet Mapping site, h p://wv '.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, Property Owners +''ithin 500 Account I Parcel 83946705 095729202010 Feet of Parcel # 005729202009 Owner Date leaelza Ltd\ L c Mailing Address LAKOTA LAKES RANCH HOMEOWNERS. 7288 COON ASSOC Parcels: 13 Owner Records: 19 Y ROAD 54 JOHNSTOWN, CO 805349604 Page 3 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/1312020 4:33:45 PM THE UNDERSIGNED, tates 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 properly (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:.il ww,co_w ld_ _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, Property Owners Within 500 Feet of Parcel It 095729202009 Parcels: 13 Owner Records: 19 7,7 ice" A41½. ilearibi:: 10-ir4 Signature Date Page 4 of 4 Weld County Treasurer Statement of Taxes Due Account Number R3946605 Parcel 095729202009 Legal Description Sims Address LLRC OUTLOT B LAICOTA LAKES RANCH PUG CORR Account.. R3946605 LA COTA LAKES RANCH LLC 7142 LAKOTA LAKES RD JO ;TOWN, CO 80534-5629 Year 2019 Charge Tax Grand Total Due as of 10/13/2020 Tax Billed at. 2019 Rates for Tax Area 2371 - 2371 Authority WELD COUNTY SCHOOL DIET [&.E.5J NORTHERN COLORADO WATER INC FRONT tU4NGE FIRE RESCUE (JO AIMS JUNIOR COLLEGE THOMPSON RIVER REC HIGH PLAINS LIBRARY .ayes Billed 2019 Credit Levy 1 Levy 15_0380000' 24.0 00 000 1.0000000 1149 10000 3540000 33940000 121 10000 Amoant S421 $6.72 $0.28 S3.22 1.78 1.01 S0a90 64.6940000 S18.1.2 Payments $18,12 Values Actual VACANT [(ES LOTS 5961 Total $961 Balance $0.00 so -go Assessed $220 $280 ALL TAX LIEN SALE AMOUNTS ARE SUBJECT B JECT TO CHANCE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FE'E5 - r -. - t. - Weld County Treasurer's Office 1400 N it Avenue PO Box 458 Greeley, 00 8 80632 Phone: 970-400-3290 Pursuant to the ViVeld County Subdivision Ordinance, the attached Statement of Taxes Due issued Treasurer are evidence that as of this date, all current and prior year taxes related to this parcel have been paid in lull. Signed: . )i 11.,4�t-`, Y C'flccflemfl Date: 1G 3t2C20 PLANNED UNIT DEVELOPMENT (POD) CHANGE OF ZONE APPLICATION 1 -FOR PUNNING DEPARTMENT USE RECEIPT AMOUNT # APPLICATION RECEIVED BY d Parcel Norther DATERECEIVED: CASE,ASSIGNED: r- PLANNER ASS.I NED; R pia _7.0‘)12._- r--_ t;s12,Lii. (12 cwt number a wit on Tax ID. OfornialiON obtainable at the Yield Cam. Avassoes OAR or n _ i . 1 lals being included in to ,1erj additional sheet) Legal DesaiptionC Property Address Cif Applicable) Existing Zone OdicPa #_Proposed Zone District Pto sed Acre. Open Space. Are you _.g for Conceptual r Spethfic Guide? El Conceptual Townshipi05 N: r, Rang t<01OC ti Total Acreage: FEE OWNER() OF THE PROPERTY of addrionaI spate is req Bred. attach an addiftral sheet) ccer$ LFt-'untacne,s sec 9rnt&, Wk IThone Address: CityiStalellip Code me Ph APPLICANT OR AUTHORED AG ENT (see Bea= Aunt ciliate': must actorranyappricationat aired by Authorized Awl) Name: Phone # L1001,03)me Phone # Address- 1 0 2 L. Lc ha Lan S 'tat"I+l Code UTIL IT)E : Water_ Sewer Electric: Phone_ DISTRICTS: School: Post re et- Sailgr Lakirfirt Email Address itsa-tra OC3hcal (4 e ots".. I (We) here.by depose and state untier penalties of perjury that all statements. p - S, an 'or plans submitted with or contained within the application ere tue and confect to the best of my (our)knowiedge. properly must sign - this a . If Agent signs, a 'tear of _ from all fee owners must be included wtth o application. Lf a rat a is the fee owner, notarized a must included tg the �.� � �i• c�. i the undersigned. '��b�► request 1��►gs b, the signatory has the E� ��..�r to sign r�� the �� - Weld County Nanning Commission and the Board of County Conurissionerz concerning the proposed Wince of Z one f p r the above described unin-orpo _ - tecl area of Weld County. Colorado: si I)/ de./3..) Signature: Dale rain Owner or: Authorized Agent Date iIIu111uu11Rt11y MM Orar Wed COIN, Co P '3' � 1�pp Mg 3 [�iottso Clerk & d at QUITCLAIM DEED . _� ,datedthis day of 20...„ between EMMA IL BEM, To ors; and ISOM LAKEs LOCH licieowtiats Assocutnots a Colorado corporation duly orpinized and existing under and by virtue of the lama/fat State of Colorado, ,grautee, whose legal address is 7288 County Road 54, Johngown, Colorado 80534, 14171WESS, that the o for valuable consideration, have remised,sed, sold and QUM:LAMED, and by these maw do l'+ and QIJLTCLAIM unto the grantee, i forever, all the tight,interest, rim sal ,t .moors have in and to the , together with improvencuts,, situate. t Ind being in t . ofWeld Hof Colorado, described asfollows: Oudot C of Labs's Lakes Ranch, Cotmty, Colorado, according to the Plat thereof recorded on 1 tailoc , 2004, at Ration No. 3w the recants of the Oak and Recorder of the County of 'Weld, OAoraxio RESERVOR, however, =In grantors, all right Ste in and to all ofthe oil, gas and other Literals and minim rights in and under the lands jjj eve. TO RAVE AND TO BOLD the same, together Ninth all and singular tile appurtenances and* , i. �.T +�.thereunto belonging., or in anywise anywise mu0 appertaining, the estate, rig title, interest ; ' rte' of the grantor, +i:#. in or equity,, to only tier' benefit ind tot the wantee, its tuccessors and wisps firssfer. Erg Wrnass WHEREOF, the grants have caused their names to be hereunto subscribed the da3r and year first above GRAMORS: DEBRA TODD l'A13CK'. 1111 7 EU KREBS WELD COUNTY COLORADO UND RECORDS AFFIDAVIT F INTERESTED LAlsID OWNERS SURFACE ESTATE THE UNDERSIGNED, States that to the best of his 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 the pro(the � estate) within 500 feet at the propertybeing consideredw This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site,. htticeilwww.co.weld,cosus, and has not been modified' from the original, The list comma for the records of the Weld Coup Assessor was assembled within thirty dofd ap bons ubm date,. Proper Owners Within 500 Account R8955568 R0919301 Parcel Feet of Parcel # 095729202010 Owner 095719400002 CROISSANT FAMILY FARM LLC 095720000033 1 CROISSANT FAMILY FARM LLC ;1 633686 09572900001 H°°� 095729000048 600 095729000047 R8936700 095729000048 FiB586800 886800 95729000053 Parcels: 26 BETZ EMANUEL MUST MEZA LOA BO IltRlLL ADAM BOTTERILL JENNIFER KEMMER DEBRA }< ER GORDON B SISKOWSKI BECKY ANN 10/1312020 4:38:08PM ouit boinegna Mailing Address Date 49316 COUNTY ROAD 83 l BI.Er GO BD6119319 49316 COUNTY ROAD 83 BRIGGSDALE, CO 806119319 612 CHARLOTTE 'T' JOI-ThISTOWN. CO 805348614 25809 COUNTY ROAD 15 1 XIHNSTOWN0 CO 805349515 7360 COUNTY ROAD 54 JOHN OWN„, CO 805349604 25741 COUNTY ROAD 15 1 JOHN TO N, CO 805349515 Owner Record& 39 Page 1 o16 WELD COUP COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:38:98 PM THE U NDERSI GN , States that to the best of his or her knowledge the I list is a true and accurate list of the names, addresses1 and the , , ding Parcel Identfficatitxt tilturrbe r assigned by the Weld County Assessor of the owners of the property (the sudace estate) min 500 feet of the pnverty being considered, This list was compiled utilizing the records of the Weld County Assessor available on the minty Intent Mapping site, httpliffenmsoakveideco.us, and has not en modified from the original. The list compiled for the records of the Weld County assembled r. �, thirty of the applications submission dater Property Owners Within 500 ,R11941623 R58U5 R3945905 095729202001 1 R3946005 W3946105 10 it 095729202001 095729'ZQ`'�.002 (195729202003 0957292(02004 R39461115 G95729202004 ;R3946205 095729202005 Pam, 26 Feet of Parcel. 095729202010 SISKOWSK1 DEAN EDWARD COULSON EXCAVATING COI CHRISTENSEN DUSTIN MCGILL JAMIE A RI ON BRYON Data ailing Address .25671 COUP ROAD 112 JOHNSTOWN, CO 805 49515 3609 N COUNIY ROAD 13 V LOVELAND, 805382316 IOTA LAKES NCH LLC MCKINNEY 'MEREDITH B MCKINPEY JEFFREY L SCHWARTZ EI'S RAE Owner Records: 39 17008 COUNTY ROAD 54 JOHNSTOWN, CO 80530604 7482 LAM . LAKES RD JOHNSTOWNs CO 805345629 7142 LAXOTA LAKES RD JOHNSTOWN 56 7162 LAICOTAS I JOHNSTOWN. O 8O5. g Page 2 of 6 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:38:08 PM THE UNDERSIGNED. States that to the best of his or her knowt the attached fist a true and write hist of the names, addresstes, and the corresponding Parcel Identification mber assigned by the Weld County_. Assessor of the owners of the property (the surface. mss) within 500 feet of the pr operty red. This list was coed utilizing the records of the Weld Coup Assessor available the Weld County Internet'Mapping site, httplaiwvAv.coseld.causa and has not been modified from the originals The list � pfor the records of the Weld County Assessc r was assembled within thirty days of the applications submission date. Property s In 500 Feel of Parcel095729202041C Account Parcel Owner R3946205 946305 095729 202005 095729242D06 IR3946406 095729202007 R3946405 1 09572920200I Mailing Address SCHVVARTZ TANNER D TWO HOPES LIVING REVOCABLE TRUST ZANDER 'TAC ' ZANDER BENIN R39465 095729202008 599 VERMILION Pte.. OR WINDSOR. CO 805503250 7142 LAKOTA LAKES RD JOHNSTOWN. 7132 LAKOTA LAKES I J OHN T W.1 CO 80 5629 LAKOTA LAKES RANCH HOMEOWNERS 7182 OTA LAKES RD ASSOC 3946605 09572920200 IOTA LAMS RANCH LLC I r 946705 _ a_ _ 010 LAKOTA LAKES RANCH HOMEOWNERS ASSOC R3946805 095729202011 MCGILL JAMIE R3946805 095729202011 CHRISTENSEN EN DUSTIN Parcels: 25 JOHNSTOWN, CO 8053,E 7142 LAKOTA LAKES RD JOHNSTOWN, Co 805345629 72 COUNTY ROAD 54 JOH TO NI CO1305349604 7080 COUNTY ROAD 54 JOHNSTOWNI CO S Owner Records: 39 Page 3 of 6 WELD COUNTY COLORADO D RECORDS AFFIDAVIT OF INTERESTED I SURFACE ESTATE 10/13/2020 4:38:08 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, adder* and the correspondingParcel Identicaton Number assignet by the Weld Courtly Assessor of the ownersof the property (the surface estate) within 500 feet of the property being considered, This fist was compiled utilizing the records at the Weld County Assessor imitable on the Weld County Internet Mapping site, httpitwiliveivito.welclaco.us, and has not been modthed from the or grnaL The list cornpiled for the records of the Weld County Assessor was assembled vir 'thin thirty days of the applications submission dates Property Owners Within th Feet 0f Parcel 0957 02010 Aunt R44113406 R4418406 R44118506 in 4418506 Parcel 095729203004 095729203004 095729203005 095729203005 R4418606 095729203006 DEAN ELEMOR REVOCABLE LIVING TRUST Date GOSNEY JOHN L REVOCABLE E LING TRUST SCHROEDER BARRY WILLIAM SCHROEDER NICOLE HELLER SCHROEDER NICOLE Address 3104 FOREST PARK RD STURGEON BAY, Art 542359147 25341 HERITAGE CT JOHNSTOWNI CO 805349550 R4418606 095729203006 CHROEDER BARRY 25341 HERITAGE R4418706 8706 R4418706 1R4418806 0957203007 DEAN ELEANOR Ft REVOCABLE UVING TRUST J O NST WNT CO 805349550 GOSNEY JOHN L REV_'ABLE LIVING 3104 LAKE FOREST PARK RD TRUST 09572 9` E "` JOHN L DEAN ELEANOR R REVOCABLE TRUST Parcels: 26 STURGEON BAY, WI 542359147 3104 LAKE FOREST PARK RD STURGEON EON BAY. W1• 54 9147 Owner Records: 39, Page 4 o1.6 WELD COUNari COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND SURFACE ESTATE 10/13/2020 4.39:08 PM THE UNDERSIGNED, States that to the best of his or her know, e 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 Coin Assessoravailable on: the County Internet Mapping Vi ► e# h iMw � A d, sus, and has not been modified from the i l The Fist compiled for the records the VVeki County vias assembled min thirty days of the applications submission date, Property Owners Within SOO Account. * 4418906 N r R4418906 R 63438 095729303002 095730000019 Feet of Parcel # 095729202010 DEAN ELEANOR . REVOCABLE LNG TRUST GOSNEY JOHN L REVOCABLE LIVING TRUST 0 BETZ EMANUELTRUST ii 1 104 LAKE FOREST PARK RD I SMRGEON BAYt WI M2359147 612 CHARLOTTE T JOHNSTOWN, co 805314 Owner Records: 39 Pag WELD COUNTY COLORADOLAND RECORDS AFFIDAVIT OF INTERESTED LAND D OWNERS 4s SURFACE ESTATE THE UNDERSIGNIEDt States that to the best of his or her knowledge the attached list is a trueand accurate list of the names, addressest and the corresn i Parcel tdentfication Nuinter assigned by the Weld Gaudy t r owners of the e surface estateire 500 feeto the pooped" beiag mere‘ This list was Grawnpiled utitrzing the reds of the Weld County !MAWS available on Weld County Internet Mapping sett http J/te.e i d. s been modified the original The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications ts� date, -.a^a- cairn ..tt-i•J?i.s-;3:i'f .a _nr•-M Weld County Treasurer Statement of Taxes Due Account Num& R3946705 ae OUTLar C LAKOTALAK RANCH PUP CORR Parcel C95j0 Account R3946705 LOTA LAKES RANCH HOMEOVIleRS ASSOC 7288 COUNTY ROAD JO TOWN. CO 805344604 Seats Akin= 7196 COUNTY ROAD 54 WELD F 4► t s: ## 13. i i i t i '! a 1 r—* Fe‘' *Ai *is • i• r.3 t■ :, s Sigh" a tie eS '1 "• a• } W K a 0 t o ri T t iR 4 E i a 3: & i Y h '• i '4 telil s I Year Grand Tc'cat Doc ss of 1(t1 t w a. - .s s b ,M , i. *4t'# r' n Balsin 50,00 ALL TAX LIEN SALE AMOUNTS SUBJECT TO CHANGE TO ENDORSEMENT OF CURRENT TAXES BY THE LIEWOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES f MO THE TREASURERSOFFICE WILL NEED TO BE COWACTED PRIOR TO REMITTRCE AFTER THE FOLLOWING OAS: PERSONAL PROPERTY, REAL , ARO ALE HOMES - AUGUST 1. TAX _ EN SALE. REDEMPTION AMOUNTS MUST BE PAID CASH OR raelsWS CHECK. POSTIAARICS .ARE NOT ACCEPTED ON TAX UEIN1 SALE REDEMPTION pAYNENTS, PAYMENTS must BE IN OUR OfTICE AND PROCESSED BY 114E LAST BUSING DAY OF ThE MOTH, str- Weld County Treasurer's Office 1400 N int Avenue PO Box 458 Grimy! Co 80632 Phone: 970400-3290 Pursuant to the Weld County Subdivision Ordinance, the Std Statrsrlient at Taxes Due T.ssued by County Treasurer are evidence that as of this date, all current and prior year Wes related to this parcel have been paid in tut °in ante belmolSr - PLANNED UNIT DEVELOPMENT (PUD) CHANGE OF ZONE APPLICATION FOR PLANNING DEPARTMENT USE RECEIPT # /AMOUNT #IS APPLICATION RECEIVED BY r Parcel Number .- - - (12 digit number - found on Tax In. information, obtainable at the Weld County Assessor's Officer ar r ►wpo. ►eId.cc.us) (I dud all lots being included in the application area.. If additional s aceej r uir a h Seal sheet,) iss• Col P inn ecticn, Townshl Legal Description - - p° 712? _ Laity Property Address (It Applicable) - in Zone District: Proposed Zone District: Existing P'POL1/&- DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: Proposed #/Cots: Acres Open Space: 0 North„ Range,(( -West Conceptual or Specific Guide? ni Conceptual Are you applying for � �p FEE OWNER(S) OF THE PROPERTY (If additional space is required, attach an additional sheet) Name: _ ! Wit) n Work Phone # __Home ,P n Address- 70fl1! gIN City/State/Zip Code pa co -PM~ v Total Acr=eage: thP ecific /?tfld4tfloLr 11 Email Address APPLICANT OR AUTHORIZED AGENT (See Be1oys( Authorization must accompany applications signed by Authorized Agent) Name: \laeotiVeCUL Ake, a 1 11 Work Phone # _ _Horne Phone #'7353-r10 Address: City/State/Zip Code UTILITIES: Water: Sewer: -e( Gas:'' Electric: Phone: DISTRICTS. School: Post: 7 Pe eallet-- 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 ra perty must sign this application} If an Authorized Agent signs, a letter of authorization from all fee owners must be property included with the. application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the I -.e ut:hority to sign for the corporation. I (we), the undersigned, hereby 'request hearings before the Weld County PI, rein ommission and the Board of County Commissioners concerning the proposed Change of Zone for the above d • Seri ed u _' corporated area of We Id County, Color- ,t ature: + . = cr Aurorized Agent ae e 'r• � r ure: Owner or ' uthorized Agent Date 7 C d t a p J' re ilia III 111111 111111 011111 Warranty Deed (Pursuant to 38-30-113 .C.R.S.) State Documentary Fee Date: January '1, 2016 1190 THIS DEED, made on January 21, 2016 by LAKOTA LAKES RANCH, LLC, A COLORADO LIMITED LIABILITY COMPANY Grantor(s), of the County of WELD and State of COLORADO for the consideration of (5119,000.00) * One Hundred Nineteen Thousand and 00/100 a* dollars in hand paid, hereby sells and conveys to DUSTIN CHRISTENSEN EN AND JAMIE MCGILL Grantee(s), as Joint Tenants, whose street address is 7008 COUNTY ROAD 54 JOHNSTOWN, Co 8053x_ County of WELD, and State of COLORADO, the following real property in the County of Weld, and State of Colorado, to wit: OUTLOT 1, CORRECTED PLAT OF LAKOTA LAKES RANCH P.'U.D., COUNTY 01? WELD, STATE OF COLORAL'O. "EXCEPTING AND RESERVING ONTO GRANTOR ALL OIL, GAS AND OTHER MINERALS** also known by street and number as: VACANT LAND JOHNSTOWN CO 80534 with all its appurtenances and warrants the title to the same, subject to general faxes for the year 2016 and those specific Exceptions described by reference to r-ecorde€ documents as reflected in the Title Documents accepted by Grantee(s) in accordance with Record Title Matters (Section 8.2) of the Contract to Buy and Sell Real Estate .relating to the above described real property; disc+ ibution ut.ilit, easements, (including cable 71r9 those specifically described nights of third parties not shown by the public records of whichGrantee(s) has actual knowledge and which were accepted by Grantee(s) in accordance with Off -Record Title Matters (Section 8.3) and Current Survey Review (Section 9) of the contract to Buy and Sell Real Estate relating to the above described real property; inclusions of the ProperPropery within any special tax district; and other NONE LAKOTA LAKES RANCH. LLC. A COLORADO LIMITED LIABILITY COMPAINEY I ! i_rx_ r4 Jr ! TODD D. MUCKLER. MANAGING MEMBER DearArErBER.L AiKiA DEBRA EBERL-MUCKGER, MANAGING MEMBER. State of COLORADO County of WELD a) ss,. The foregoing instrument was acknowledged before me on this day of January 21, 2016 ! by TODD Ds MUC LER AND DEBRA EBERL K'A DEBRA EBERL-MUCKLER AS MANAGING MENIBE RS OF LAKOTA LAKES LLC, COLORADO LIMITED LIABILITY COMPANY otary Public My commission expires :. °'grp a. R Mir STERLING f --,31"4Y «P�aI BLIC MY C;x ;, When Recorded Return to: DUSTIN CHRISTENSEN TENSE AND JAMIE MCGILL 7008 COUNTY ROAD 54 JOHNSTOWN, CO 60534 Fun 13094 01 2011 wd.odt Warranty Deed (Joint Tenant) FC25I.36811 424052475} ShD O1 Land Me Salmi 1TM' ! 4t!4ricr WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF 1SITERES ED LAND OWNERS SURFACE ESTATE 110/1.3/2020 4:43:05 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:// w.co,weld.co.0 , 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. Property Owners Within 500 Feet of Parcel # 095729 02011 Account Parcel R1633686 R3946405 R3946405 R3946705 0957 29000018 R3946805 Date 095729202007 095729202007 83946805 R441 306 Q95729202..010 Owner Ma ling Address BETBETZ E lMl ANU EL TRUST 612 CHARLOTTE ST JOHNSTOWN, CO 805348614 ZANDER STACEY M 095729202011 84418306 84418406 . DER BENJAMIN 095729202011 LAKOTA LAKES RANCH HOMEOWNERS ASSOC 095729 03001 095729203001 7132 LAKOTA LAKES RD JOHNSTOWN, CO 805345629 MCGILL CHRISTEN EN DUSTIN 095729203004 Parcels: 12 7288 COUNTY ROAD 54 JOHNSTOWN, CO 805349 04 DEAN ELEANOR R REVOCABLE LIVING TRUST GOSNEY L REVOCABLE LIVING TRUST 7080 COUNTY ROAD 54 JOHNSTOWN', CO 805349604 3104 LAKE FOREST PARK RD STURGEON BAS'', WI 542359147 DEAN ELEANOR R REVOCABLE LIVING TRUST Owner Records: 20 Page 1 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:43:;05 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list oft 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, httpr:11 w ,cc.wetd.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. Property Owners Whin 500 Feet Account ParOwner R4418406 I_ R4418505 84418506 R4418606 R4418606 095729203004 095729203005 095729203005 095729203006 095729203006 84418706 095 29203007 of Parcel # 095729202011 G0SNEY JOHN L REVOCABLE WING TRUST SCHROEDER BARRY WILLIAM SCHROEDER NICOLE HELLER SCHROEDER NICOLE Date DEAN ELEANOR R REVOCABLE LIVING TRUST R4418705 095729 03007 R4418805 095729203008 GOSNEY JOHN L DEAN ELEANOR R REVOCABLE TRUST 84418900 095729303002 DEAN ELEANOR R REVOCABLE LYING TRUST Parcels: 12 Signature Mailing Address 3104 LAKE FOREST PARK RD STURGEON BAY; WI 542359147 25341 HERITAGE CT JOHN OWN, CO 805349550 25341 HERITAGE CT JOHN TOWN., CO 805349550 GOSNEY JOHN L REVOCABLE LIVING 3104 LAKE FOREST PARK RD TRUST Owner Records: 20 Page 2 of 4 STURGEON BAY, Wt 542359147 3104 LAKE FOREST PARK RD STURGEON BAY, WI 542359147 WELDCOUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 10/13/2020 4:43:05 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:/fiviomeiv.co.weldacaus, and has not been modified from the original. The list cornp led for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet of Parcel # 09572920201 1 Account _ Parcel Owner R4418906 095729303002 R16343$6 095730000019 GOSNEY JOHN L REVOCABLE ABLE LIVING TRUST BETZ EMANUEL TRUST Parcels: 12 AI /3 1 1MaiIing Address Signature Date 3104 LAKE FOREST PARK RD STURGEON BAY, WI 542359147 612 CHARLOTTE ST JOHN TOW , CO 805348614 Owner Records: 20 Page 3 of 4 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE E 10/3/2020 4:43:05 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the properly being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.vveld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. ka./ Property Owners Within 500 Parcels: 12 Feet of Parcel # 095729202011 Owner Records: 20 r ity / Signature Date j$ets a -moan axe Page 4 of 4 Vet: r Weld County Treasurer Statement of Taxes due Account Number = C ±'5 05 Parcel 095729202011 Lead Description Sites Address LLRC OLTLOT D L_ KOI A. -t. r 'L ' _ a • -a-_ 1. Z. - - Account: R3. +5 CHRISTENSEN TENSEN E S 1 7080 COIL-N-PO T J S OWN_ CoSg';'- si 1 • Billed $0.82 $40.76 Payments $0.82 340.76 Balance $0.00 $0.00 $0.CIO a a _ SC 74" -it IS a -r r.i•.- 'i'4, L_ L i —L a t ■ e _ 37-42 tc _ - ; aria rit 'Mr :Yr lina al - r .? 41;C i L — taft ale: C • a — T' Aetna - � — +w — . - r I •f s . L Mill Levy Amount Values Actual Assessed I5.0380000* $9A9 SINGLE FAM.R,ES. $8,74 $630 24.0000000 515.11 LAND 1.0000000 $0.63 Total $8,747 $630 11.4910000 S7.24 6.3 540000 $4.00 + 3a5940000 £226 3_2170000 $2.03 64,6940000 $40.76 ENSALE: Ate' -EFTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIEN.- E DR TO ADVERTISING AND DISTRAINT WARRANT FEES.. _, - , # ,_ -�'y ��' a a a es u ` r' T _ TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REINIITl•AN E AETERik Weld County Treasure's Office 1400 N 17th Avenue PO Box 458 Greeley, CO 80632 Phone: 70-400-3290 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, ail current and prior year taxes related to this parcel have been paid in fun. Signed: Date: 2C70, November 16, 2020 Lakota Lakes Ranch PUD Corr We are requesting a. changing is zoning from Estate Uses to Estate Uses Amended to accommodate Secondary homes/ADU buildings tor family use on the lots. The roads and right-aways have already been built and dedicated in the original PUD and shall remain in place. There will be no change to the operaspace dedicated to the PUD and will remain the same. The large acreage lots will have no change to the drainage or easements listed in the PUD and will remain the sae as well. Sinc-erely, 2-steje Jamie McGill Lakota Lakes HOA Homeowner Do Sign Envelope ID: Fl CDA9F7-ADA 21 B-93F8-06ABF4O77A6D HOA minutes 7/9/20 Meeting commenced at 7:05pm All in attendance-Mucklers, Zanders, Schwartz, McKinneys, Pikhardsons, Christensen Discussed changing the POD to allow for AUD (Auxiliary Dwelling Unit -he. MIL apartment) with the allowance immediate family only (parents, siblings) no renters prohibits AirBnb no permanent residents We must file this with the county. There will be additional expenses for the HOA. Discussed a special assessment of $350 per unit/household to pay for this. If the cost is less, the assessment will be less. Dustin and Ben will send out a docusign to vote on this. Dustin will file with the county. Vote: Unianimous approval of AU 0 and a special assessment with all voting. 7:37 pm adjourned OocuSiined by: EEDF2C/E516C494... -.Ooic 03110Bd by; DOA eetit NAB 553 k20? 31 FE_ -- ° QocuSignad by: t 6fl3 E156513/W5o.. t3ccO 6199885443... bon Sig nett br. //' B48flE9UFB 44€. OtctzSlgnwd by: Audit/AY 7'7251 FQ 9 F4784 E4 , . 7/9/2020 7/9/2020 7/9/2020 7/9/2020 7/9/2020 7/9/2020 l cuSic ned by: ksL ScLtthwEfl, 02743241 ED2131Eu Doc tISfpticii Iby: W41wwg OcciuStgnncd by; 94(1 L-� EOCEICB00/113354 O1.1 --VocuSIuned by: 1)JAJAJr SGiwthg 7/10/Z020 7/9/2020 7/9/2020 7/9/2020 DocuSign Envelope ID: 1031 FEA1-D7A6-46F2-B7F6-E91 C510DF679 November 17, 2020 Attn: Weld County Planning Re: PUDZ Amendment to add ADUs for Lakota Lakes To whom it may concern: The homeowners of Lakota Lakes HOA authorize Jamie McGill to represent them for the purposes of the PUDZ Amendment and rezoning of Lakota Lakes HOA and its homeowners. Each lot owner is represented by the signatures below. [ :\ , ......_ - - _____., Jamie c iiisand Dustin nristensen 70 9uciou ty Road 54 Ltvi S) • 2 pla. Richardson DocuSigned by: DocuSigned by: (2144171 1821404p Lain Dbcbigned by: nct ne-vea Irk C. aLQWE... 716 cLsig ndtby: Lakes cu' igned by: Dwx a s artheathi) 7, o Pet yi-ake Lit Aga& gtcuSigned by: Usk itteitthists J I tI(A2F9A4EE.,. 7141 Laot Lakes RSI and Lot 3 r — ocu igne y: . -- ocu ignS y: €054151 A3A547A.., B 7132 Lakota Lakes Rd 11/17/2020 I 5:39 PM MST 11/17/2020 I 7:49 PM CST 11/17/2020 I 7:58 PM CST 11/17/2020 I 6:15 PM PST 11/18/2020 I 7:45 PM CST 11/18/2020 I 1:40 PM CST Dalai i SECURED Certificate of Completion Envelope Id: 1031 FEA1 D7A646F2B7F8E91 C510DF679 Subject: Please DocuSign: HOA PUDZ Authorization.docx County / Number of Acres: PUDZ Authorization. for HOA Source Envelope: Document Pages: 1 Certificate Pages: 6 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) S ignatures: 11 Initials: 0 Status: Completed Envelope Originator: Jeff McKinney 121 South Madison St Pittsfield, IL 62363 jeff.mckinneywhitetailproperties.com IP Address: 208.68.49.57 Record Tracking Status: Original Holder: Jeff McKinney 11/17/2020 5:37:41 PM jeff.mckinney@whitetailproperties.com Location: DocuSign Signer Events Signature Ti mestarn p Jamie McGill jam2finance@yahoo.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 5:52:15 PM ID: aa2be5c0-759c-4f78-abc7-e0d0ea61035e Dustin Christensen dc_construction@ymail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 6:39:40 PM ID: 7db6b1 ae-fb7e-40f5-ad38-bb86f00ad176 Bryon and Tara Richardson sunsetblushesl 971@gmail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 7:48:53 PM ID: f0a65f06-9435-4573-863a-65434fecd74a Jeff McKinney jeff.mckinney@whitetailproperties.com Agent, Land Specialist Whitetail Properties Real Estate, LLC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign [ 7.Th `' __�—� 6icccrct519988 443. dacuSigned 6y: Signature Adoption: Drawn on Device Using IP Address: 208.68.49.92 Signed using mobile �dacuSigned hr aitte aa6B3E E 15B6134[5 Signature Adoption: Drawn on Device Using IP Address: 208.68.49.92 S igned using mobile Signature Adoption: Drawn on Device Using IP Address: 172.58.59.104 Signed using mobile dcuu$ignedl by: A. EAC:119A6SEUBd.DB. S ignature Adoption: Drawn on Device Using IP Address: 208.68.49.57 Sent: 11/17/2020 5:50:32 PM Viewed: 11/17/2020 5:52:15 PM S igned: 11/17/2020 5:52:27 PM Sent: 11/17/2020 5:52:28 PM Viewed: 11/17/2020 6:39:40 PM S igned: 11/17/2020 6:39:54 PM Sent: 11/17/2020 6:39:56 PM Viewed: 11/17/2020 7:48:53 PM S igned: 11/17/2020 7:49:18 PM Sent: 11/17/2020 7:49:19 PM Viewed: 11/17/2020 7:58:12 PM S igned: 11/17/2020 7:58:19 PM Signer Events Signature Timestamp Meredith McKinney meredith.mckinney©whitetailproperties.corn Agent, Land Specialist Whitetail Properties Real Estate, LLC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Tanner Schwartz Tanner.schwartz@hotmail.com Security Level: Email; Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 8:00:43 PM ID: f4ce0378-b65f-4b2a-balb-b31dc7b0054e Keisha Schwartz fitmom_of6@yahoo.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 8:14:42 PM ID: 4f1d6b15-a0b5-4605-a1 df-92dalfcbdl l e Ben Zander bzander@mmi-corp.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 10:25:28 AM ID: 8826d0d4-6470-49d7-8e8d-8571 c85620f1 Stacey Zander Staceyzander2003yahoo.com Security Level: Email; Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 1:39:07 PM ID: ecaea152-1943-4f2d-99f4-bd8793ead312 Todd Muckier toddo1024©gmail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: es- DocuSlgned byr: sierreeteetak no C. 5---- ML19E72FB 7OD4CE .. S ignature Adoption: Pre -selected Style Using IP Address: 208.68.49.57 docuStgned by; IL- eriatmui ACOB .D&O7AB04F$ 634,5 S ignature Adoption: Pre -selected Style Using IP Address: 174.248.155.109 Signed using mobile aDacuSlgned by: i.- ktis6, sailumnie5 D2T2a WE92B4E0. S ignature Adoption: Pre -selected Style Using IP Address: 208.68.49.55 S igned using mobile riocuSigned by: 1/4—EEDF2C7E576C4F i._. S ignature Adoption: Pre -selected Style Using IP Address: 174.198.134.213 Signed using mobile docuSigned b f S ignature Adoption: Drawn on Device Using IP Address: 73.243.131.148 Signed using mobile r t'ocuSligned by: erekt ittuthkr i'`ABc1EB'EODE074eB S ignature Adoption: Pre -selected Style Using IP Address: 208.69.215.23 Sent: 11/17/2020 7:58:20 PM Viewed: 11/17/2020 7:58:36 PM S igned: 11/17/2020 7:58:41 PM Sent: 11/17/2020 7:58:43 PM Viewed: 11/17/2020 8:00:43 PM S igned: 11/17/2020 8:00:54 PM Sent: 11/17/2020 8:00:55 PM Viewed: 11/17/2020 8:14:42 PM S igned: 11/17/2020 8:15:02 PM Sent: 11/18/2020 10:14:32 AM Viewed: 11/18/2020 10:25:28 AM S igned: 11/18/2020 10:25:54 AM Sent: 11/18/2020 10:25:56 AM Viewed: 11/18/2020 1:39:07 PM S igned: 11/18/2020 1:40:14 PM Sent: 11/17/2020 8:15:04 PM Resent: 11/18/2020 1:40:16 PM Viewed: 11/18/2020 1:42:49 PM S igned: 11/18/2020 7:07:00 PM S igner Events S ignature Timestamp Accepted: 11/18/2020 1:42:49 PM D: 5a6bbfa2-d84e-458e-8b8c-9b3d3e5f4fd4 Debbi Muckier Debbirose16 _ gmall.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 7:45:26 PM ID: 1 c085468-f39d-4a42-9d95-72dff1 d09641 [PncnS9ned by: Vtiflif kat% UEI9OBA9A2FRMEE Signature Adoption: Pre -selected Style Using IP Address: 208.69.215.23 Sent: 11/18/2020 7:07:02 PM Viewed: 11/18/2020 7:45:26 PM Signed: 11/18/2020 7:45:47 PM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events S ignature Timestamp N otary Events S ignature Timestamp Envelope Summary Events Status Ti mestam ps Envelope Sent Certified Delivered Signing Complete Completed Hashed/Encrypted Security Checked Security Checked Security Checked 11/17/2020 5:50:32 PM 11/18/2020 7:45:26 PM 11/18/2020 7:45:47 PM 11/18/2020 7:45:47 PM Payment Events Status Ti mestam ps Electronic Record and Signature Disclosure CERTIFICATE OF AUTHORITY We hereby certify as follows with respect to a Trust entitled the TWO HOPES LIVING REVOCABLE TRUST created by a Trust Agreement dated November 1, 2015. 1. The name of the current acting Trustees of the Tnist arc: TODD D. MUC LER and DEBRA R. EBERL Successor Trustees include: MICAH J. SILVA ELI T. KREBS 2. The Trust is currently in full force and effect. 3. The undersigned are the only currently acting Trustees of the Trust. Unless otherwise indicated above, one undersigned Trustee i.s authorized, in his/`her fiduciary capacity, to take any and all action on behalf of the Trust in connection with any assets of the Trust. 4. The Trust Agreement has not been modified, amended or revoked in any manner which may cause any of the above certifications or statements to be untrue or misleading. SINA OF TRUSTEES: r, r TODD D. MUCKLER STATE OF COLORADO COUNTY OF ss Before me, a Notary Public in and for said County and State, onkciSkr `� -� 2020, r personally appeared DEBRA R. EBERL AND TODD D. MUCI LER who acknowledged to me that they did sign the foregoing instrument, and that such signing was then free act an Lissloiary Public My Commission Expires (19 I f Witness my official hand and seal. (SEAL CIle &MOS ORMIL t T�AR'� PUBLIC STATE OF COLORADO NOTARY ID 20184023193 MY COMM?SS-ON hXPIRES 0(3101/2022 Executed this State of COLORADO Guilty of WELD dray of )ss I- OD NAGING MEMBER BERL AilQA DEBRA EBERL-MUCKLER, C KLER, MANAGING MEMBER. Tie foregoing instrument was acknowledged before me this?ea day of clan at ISby TODD it MUCKLER AND 'DEBRA EBERL.0 /, 'A DEBRA E IFVJRL-MUCKLEE. A MANAGING MEMBERS OF LAKMA LAKES RANCH, TLC, A COLORADO LIMBED LIABILITY COMPANY Witness my hand arid official seal. My commission expires: ■ r H i 1N RECORDEDRETURN L 7 TO: HEATHER M. STERLING NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20 4007161 MY COMMISSION EXPIRES 06/03/2016 Form 13759 03/2005 soa_odt FC25136811. {24052479) pg 2 of 2 C I sOs.5tate.tous/ 1 si Entityf: a ail.dokttiriatiitt anljtinialion usanPssfntityC;riteriaExtt dileldl= ?0Q311}/ 4?W !tmastei1Filolcl= kii.Npra V Wed County Pre e._ Accelb 9 C Maps County • IOW net Code W Prrrnit Ctr IA CRIB fig TYLER FEMA ( h1FHL V-itriCr' FEMA training ® PIE el Flood. Tiairert El Other tooknnar Colorado ft, Secretary of State Jena Griswold =or this Record__ Wing. Ittory and isaiments ' :rt a rer'tifinir of geed dafai aq - He a 1mm. tslna+lbe to lanai Strtiflc n1Ian hr attr,sribe front cosoil Jr intm.Howe 3wslnen Inform; Rap ;Aim Granary and 1n1anrwn Gin Summer/ dells I Name LAKCIALAKES RANCFK, L.L.C. Status Good Standing date 03/00r21:303 ID number X4031073 T Form Limited Liability Company Pri is report month hlnidi Juriudi n etilbu io Principal office street .add rasa 1142 leerrota Lakes lid, JOHNSTOIAT4. Co 60534. CO, Urritea St,&ters Principal office mailing; address n a Registered rd Agent Name Cerra Lbser1.Mler Street address 7142 IScta Lakes Rd. Johnstown, CO 80534, United States Mailing. address 7 i4? Lakonia Oaks. Rs!, Jr5tirt to ni, CU X34, United $ts1es EiIiiJ.11i t_liL.d Get it,(mil e, at ousidatandiner OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF DOCUMENT FILED I, Jena Griswold , as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, the attached document is a true and complete copy of the Report with Document # 20201179615 of LAKOTA LAKES RANCH, L.L.C. consisting of 2 pages. Colorado Limited Liabili Company (Entity ID # 20031073479 ) This certificate reflects facts established or disclosed by documents delivered to this office on paper through 11/23/2020 that have been posted, and by documents delivered to this office electronically through 11/24/2020@ 12:55:42. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 11/24/2020 @ 12:55:42 in accordance with applicable law. This certificate is assigned Confirmation Number 12748060 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary o f 'State 's Web site is (idly and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of States Web site, http://www.sosestateco.u.slbiziCertificateSearchCriteria.do entering the certificates confirmation number displayed on the certificate, and following the instructions displayed, Confirming the issuance of' a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, httpliwww.say.state.co.u.s/ click 'Businesses, trademarks, trade names " and select "Frequently Asked Questions." Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. MwiFired Colorado Secretary of State Date and Time: 02/24/2020 09:39 PM ID Number: 20031073479 Document number: 20201179615 Amount Paid: $10.00 ABOVE SPACE FOR OFFICE USE ONLY Periodic Report filed pursuant to §7- 0-301, et seq. and §7-90-501 of the Colorado Revised Statutes (C.R.S) ID number: Entity name: Jurisdiction under the law of which the entity was formed or registered: L Principal office street address: 2. Principal office mailing address: Of different from above) 20031073479 LAKOTA LAKES RANCH, L.L.C. Colorado 7142 Lakota Lakes Rd (Street name and number) JOHN TOWN CO 80534 (City) (State) (Postal/Zip Code,) CO United States (province — ifapplicable) (County — if not US) (Street name and number or Post Mice Box intbrmation) (City) (Province — if `applicable) 3. Registered agent name: (if an individual) Eberl-Muekler or (if a business organization) (Last) (State) (Postal/Zip Code) (Country — if not US) Debra (First) (Middle) (Suffix) 4. The person identified above as registered agent has consented to being so appointed. 5. Registered agent street address: 7142 Lakota Lakes Rd 6. Registered agent mailing address: Of different from above) (Street name and number) Johnstown (City) 7142 Lakota Lakes Rd Co (State) 80534 (Postal/Zip Code) (Street name and number or Post Office Box its fhrrnation) Joh nstown (City) (Pro vin ce — if applicahle) CO 80534 (State) United States (Coun bay — if 'not US) (PostallZip Code) REPORT Page 1 of 2 Rev. 12/01/2012 Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.I .S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. 7. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: Ebert -Muckier Debra (Last) 7142 Lakota Lakes Rd (First) (Middle) (Sir f fix) (Street name and number or Post Office ice Box ins fhrmation) Johnstown CO 80534 (City) (State) (Postal/Zip Code) United States (Province — if "applicable) (Country— if not US) (The document need not state the true name and address of 'more than one individual. However; ifyou wish to state the name and address o rany additional individuals causing the document to be delivered cif. filing, mark this box ❑ and include an attachment stating the name and address ofsuch individuals.) Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the e user's attorney. REPORT Page 2 of 2 Rev. 12/01/2012 4174975 01125/2016 10:32 AM Total Pages: 2 Rec Fee: $16.00 Carly Koppel - Clerk and Recorder, Weld County, CO IHIIIIIII1JIIIII1IIIII i Iwlllllllll STATEMENT OF AUTHORITY -30"1 C .) 1. This Statement of Authority relates to an entity named LAKOTA LAKES RANCH, LLc, A COLORADO LIMITED LIABILITY COMPANY 2. The type ofentity is a: .1 Corporation Nouptufit Caporation Litrttaed Li,atAlity Company General Partnership Tirnited Faze st Registered limited Liability Partnership Registered Limited Liability Limited Partnership Limited Partnership Association Goverment or Governmental Subdivision or Agency Lust 3. The entity is formed under the laws of COLORADO 4. The ;1 -tailing address for the a tyis 1 I p o 1 L ► co StS5'4 5, The X name X position of each person authorized to execute instrumenis conveying, encumbering or otherwise affecting title to real property on behalf of the enmity is TODD D. MUCKLER AND DEBRA EBERL AAA DEBRA EBERLI UC LER AS MANAGING 6. The authority of the foie peno s) to bind the entity: x is'- not limited is limited as follows: 7. Other meters concerning the manner in which the entity deals ith interests in real property :3, This Statement of Authotity is executed on behalf of the entity pursuant to the provisions of §38-30-172, C S.3 9. This Statement of Authority amps ands in all respects any and all prior dated Statemenis of Authority executed on behalf of the entity. (Signature and Notary Acknowledgment on Second Page) 1 This form should not he used unless the entity is capable of bolding title to real property. 1 The absence of any limitation shall be prima fade evidence tat no such limitation exists. 3 The statement of authority mgt be recorded to obtain the benefit! of the situate. Form 13759 031200S eoa.odt F025136811 (24052479j pglof2 4174975 01/25/2016 10:32 AM Page 2 of 2 Executed this 412 l&� day of grai1latni— " State of COLORADO )55 County of VELD TOD ' I C L GINS MEMBER ERL A/ A DEBRA FRERL-PMUCICLER. MANAGING MEMBER The foregoing instrument was acknowledged before me this � day of tialG�tO by TODD D. MUCKLER AND DEBRA EB�ERG A/K/A DEBRA RA�;R�MUCIQ�'R MANAGING MEMBERS OF LAKaI'A LAKES RANCID, LLC, A COLORADO MIMED LIABILITY COMPANY Witness my hand and official seal. My coins nission expires: WHEN RECORDEn RVTtORN TO! Foram 13759 03/2005 % a.o&t HEATHER M. STERLING NOTARY PUBLIC STATE OF COLORADOi NOTARY ID 200040071M MY GOPAPASSION DES 05103/2016 FC 1, 1I (24 4T9) pg 2 of 2 S • • 'p ion •.uihurized L y this a�� 1J1..he c1 rgtr 1. i aiits" the nne.1 t►ro: i on uY� tilts �rs,st. r •;:e",k k Svt aa ai • •w�4 Vtt- _.fr. ^ %4I 171* = th.rl"'n `. ••• I G \ - t n •tip•--_>7�'�. —_ •.�f• • • i57�R9 ..��t. ,'tti'� .: ,-•.•'��=s-� - '4'� r �_�a•-. .. _ __.. - •'y' u r.'.._ %,, Pc.- •!,•.• ..'7f^y5J..'-s1•_ '. ' -V - Y • act. tifIcrt- d to rty g 2.6 AMENDMENT AND REVOCATION: Settlors reserves for settlors' lifetimes the following powers which seniors may exercise at any time or times, in their individual capacity or by dual signings: (a) To revoke the trust by a writing; and (b) Upon trustee's consent, to amend the trust, in whole or in part, by a writing. ARTICLE 3 - BENEFITS PAYABLE TO TRUSTEE 3.1 SETTLORS' RIGHTS [N POLICIES: Settlors reserve and may exercise without the consent or approval of trustee or any beneficiary, all the rights, powers, optionsand privileges which could be exercised by an absolute owner under the terms of any instrument governing the payment of benefits directly to trustee, were such property not assigned to the trust, or were trustee not designated the beneficiary thereunder. Trustee shall deliver all life insurance policies, or other instruments evidencing trustee's right to receive benefits, which are deposited with it under this agreement, on settlers' written request. Trustee shall have no duty to see that a withdrawn instrument is returned to its custody. 3.2 w- are 4 t Pr in • ., `ve'• �,. .�:1 •la it �•� M,.f �rf ZL ... a J� ` 'or-w�▪ '- •• . �.• *-,r }i }, {R�j....•�...y�!i jib • T•Ir. 9 4z' uor u •.�� _ .v\i.1-ter �dP*_*lel 5Jtr t'?F�i$r4 may_ - T•% —� • :�- F_�_ v • .s -.r r IL sr.M `• 4 • '\ ties•e • „sr T _ - •JJ -A` p Yfi ALL -57 _ _ i•" sib "9 rel. _ , • C - r c tiic 4iEYi r4.44� �..in . ... 4.g Y •• s iC r : "�atT.- 4•• *Jim'r, 9 - lib. . r _ r„Hoirrte remr r_ r r *I•..�-7 •a'.r �_ t • r .rr aaaa- I @ te k -1 e- t #7? Tit t la -r z "-�tT„ s rl' a— •'i •ea-tgatali -ill k •" i 1O13:-(1.11 I. t it a a IMP ••• •t• • it■ 1 0 em e avai • able • Pt TWO HOPES LIVING REVOCABLE TRUST This agreement is made on November is 2015, by and between TODD D. MUCKLER and DEBRA R. EBERL, of Weld County, Colorado, as settlers, and as trustees, with respect to the initial trust estate, described in Schedule A, which seniors transfer to trustee and which trustee accepts and agrees to hold, together with any future additions to the trust which are acceptable to trustee. ARTICLE 1 - FAMILY INFORMATION ARTICLE 2 - SETTLORS' RIGHTS IN THE TRUST n thtf' uul , as well as -to _ chi i .; ubsecq enfl :y bor r-_Ily 2.1 DISTRIBUTIONS AS SETTLOR DUCTS: During seniors' lifetimes, trustee shall dispose of the nel income and principal of the trust in such manner as seniors may direct from time to time. 2 it wh tr PI ■•w • t r • L. ?.. - -t - - Sr Win; - —.v-�. ex.-•r,._vi 1 • 1 . r u •j lf._ .,.:!ZT _ _ .T' .b�_�. it _-�M1 TIR-yam T� T. w e rte _..—^. tarn f or 0 • r RI It .10r • •,�.-- - - - :F1- 17- - ` •nor -S - e •lam'' -v. --. .._ iax_� .X .i�•�r r' � a _s' �•��,� c'6't!r7 rC-Cn - , fir, it; Pin' t .r,.- r.�-w7"^vey r{:. ,�=�ACM ..:� �. -:'i3�•�ai-- .-_ t ,.�ft=1. aS.tty—re ` : - . -_ - -. -Awn 4'" ; -,T q`'1t .+Y;M"'~F?�' kerk-`3;.sgC, r - -,.-.n^�:}. -1 - w . F _ 3 n _1• .K IVyry -ft.:"A.3 . otijArimpfc..447 str:r r aa.cal vis s I .1 ....�_ - • ---. --s•s-_,,a- dr- 1. .TA s /■ s Or- u•1 en's p DocuSign Envelope ID: 1031 FEA1-D7A6-46F2-B7F6-E91 C510DF679 November 17, 2020 Attn: Weld County Planning Re: PUDZ Amendment to add ADUs for Lakota Lakes To whom it may concern: The homeowners of Lakota Lakes HOA authorize Jamie McGill to represent them for the purposes of the PUDZ Amendment and rezoning of Lakota Lakes HOA and its homeowners. Each lot owner is represented by the signatures below. [ :\ , ......_ - - _____., Jamie c iiisand Dustin nristensen 70 9uciou ty Road 54 Ltvi S) • 2 pla. Richardson DocuSigned by: DocuSigned by: (2144171 1821404p Lain Dbcbigned by: nct ne-vea Irk C. aLQWE... 716 cLsig ndtby: Lakes cu' igned by: Dwx a s artheathi) 7, o Pet yi-ake Lit Aga& gtcuSigned by: Usk itteitthists J I tI(A2F9A4EE.,. 7141 Laot Lakes RSI and Lot 3 r — ocu igne y: . -- ocu ignS y: €054151 A3A547A.., B 7132 Lakota Lakes Rd 11/17/2020 I 5:39 PM MST 11/17/2020 I 7:49 PM CST 11/17/2020 I 7:58 PM CST 11/17/2020 I 6:15 PM PST 11/18/2020 I 7:45 PM CST 11/18/2020 I 1:40 PM CST Dalai i SECURED Certificate of Completion Envelope Id: 1031 FEA1 D7A646F2B7F8E91 C510DF679 Subject: Please DocuSign: HOA PUDZ Authorization.docx County / Number of Acres: PUDZ Authorization. for HOA Source Envelope: Document Pages: 1 Certificate Pages: 6 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) S ignatures: 11 Initials: 0 Status: Completed Envelope Originator: Jeff McKinney 121 South Madison St Pittsfield, IL 62363 jeff.mckinneywhitetailproperties.com IP Address: 208.68.49.57 Record Tracking Status: Original Holder: Jeff McKinney 11/17/2020 5:37:41 PM jeff.mckinney@whitetailproperties.com Location: DocuSign Signer Events Signature Ti mestarn p Jamie McGill jam2finance@yahoo.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 5:52:15 PM ID: aa2be5c0-759c-4f78-abc7-e0d0ea61035e Dustin Christensen dc_construction@ymail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 6:39:40 PM ID: 7db6b1 ae-fb7e-40f5-ad38-bb86f00ad176 Bryon and Tara Richardson sunsetblushesl 971@gmail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 7:48:53 PM ID: f0a65f06-9435-4573-863a-65434fecd74a Jeff McKinney jeff.mckinney@whitetailproperties.com Agent, Land Specialist Whitetail Properties Real Estate, LLC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign [ 7.Th `' __�—� 6icccrct519988 443. dacuSigned 6y: Signature Adoption: Drawn on Device Using IP Address: 208.68.49.92 Signed using mobile �dacuSigned hr aitte aa6B3E E 15B6134[5 Signature Adoption: Drawn on Device Using IP Address: 208.68.49.92 S igned using mobile Signature Adoption: Drawn on Device Using IP Address: 172.58.59.104 Signed using mobile dcuu$ignedl by: A. EAC:119A6SEUBd.DB. S ignature Adoption: Drawn on Device Using IP Address: 208.68.49.57 Sent: 11/17/2020 5:50:32 PM Viewed: 11/17/2020 5:52:15 PM S igned: 11/17/2020 5:52:27 PM Sent: 11/17/2020 5:52:28 PM Viewed: 11/17/2020 6:39:40 PM S igned: 11/17/2020 6:39:54 PM Sent: 11/17/2020 6:39:56 PM Viewed: 11/17/2020 7:48:53 PM S igned: 11/17/2020 7:49:18 PM Sent: 11/17/2020 7:49:19 PM Viewed: 11/17/2020 7:58:12 PM S igned: 11/17/2020 7:58:19 PM Signer Events Signature Timestamp Meredith McKinney meredith.mckinney©whitetailproperties.corn Agent, Land Specialist Whitetail Properties Real Estate, LLC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Tanner Schwartz Tanner.schwartz@hotmail.com Security Level: Email; Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 8:00:43 PM ID: f4ce0378-b65f-4b2a-balb-b31dc7b0054e Keisha Schwartz fitmom_of6@yahoo.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/17/2020 8:14:42 PM ID: 4f1d6b15-a0b5-4605-a1 df-92dalfcbdl l e Ben Zander bzander@mmi-corp.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 10:25:28 AM ID: 8826d0d4-6470-49d7-8e8d-8571 c85620f1 Stacey Zander Staceyzander2003yahoo.com Security Level: Email; Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 1:39:07 PM ID: ecaea152-1943-4f2d-99f4-bd8793ead312 Todd Muckier toddo1024©gmail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: es- DocuSlgned byr: sierreeteetak no C. 5---- ML19E72FB 7OD4CE .. S ignature Adoption: Pre -selected Style Using IP Address: 208.68.49.57 docuStgned by; IL- eriatmui ACOB .D&O7AB04F$ 634,5 S ignature Adoption: Pre -selected Style Using IP Address: 174.248.155.109 Signed using mobile aDacuSlgned by: i.- ktis6, sailumnie5 D2T2a WE92B4E0. S ignature Adoption: Pre -selected Style Using IP Address: 208.68.49.55 S igned using mobile riocuSigned by: 1/4—EEDF2C7E576C4F i._. S ignature Adoption: Pre -selected Style Using IP Address: 174.198.134.213 Signed using mobile docuSigned b f S ignature Adoption: Drawn on Device Using IP Address: 73.243.131.148 Signed using mobile r t'ocuSligned by: erekt ittuthkr i'`ABc1EB'EODE074eB S ignature Adoption: Pre -selected Style Using IP Address: 208.69.215.23 Sent: 11/17/2020 7:58:20 PM Viewed: 11/17/2020 7:58:36 PM S igned: 11/17/2020 7:58:41 PM Sent: 11/17/2020 7:58:43 PM Viewed: 11/17/2020 8:00:43 PM S igned: 11/17/2020 8:00:54 PM Sent: 11/17/2020 8:00:55 PM Viewed: 11/17/2020 8:14:42 PM S igned: 11/17/2020 8:15:02 PM Sent: 11/18/2020 10:14:32 AM Viewed: 11/18/2020 10:25:28 AM S igned: 11/18/2020 10:25:54 AM Sent: 11/18/2020 10:25:56 AM Viewed: 11/18/2020 1:39:07 PM S igned: 11/18/2020 1:40:14 PM Sent: 11/17/2020 8:15:04 PM Resent: 11/18/2020 1:40:16 PM Viewed: 11/18/2020 1:42:49 PM S igned: 11/18/2020 7:07:00 PM S igner Events S ignature Timestamp Accepted: 11/18/2020 1:42:49 PM D: 5a6bbfa2-d84e-458e-8b8c-9b3d3e5f4fd4 Debbi Muckier Debbirose16 _ gmall.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 11/18/2020 7:45:26 PM ID: 1 c085468-f39d-4a42-9d95-72dff1 d09641 [PncnS9ned by: Vtiflif kat% UEI9OBA9A2FRMEE Signature Adoption: Pre -selected Style Using IP Address: 208.69.215.23 Sent: 11/18/2020 7:07:02 PM Viewed: 11/18/2020 7:45:26 PM Signed: 11/18/2020 7:45:47 PM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events S ignature Timestamp N otary Events S ignature Timestamp Envelope Summary Events Status Ti mestam ps Envelope Sent Certified Delivered Signing Complete Completed Hashed/Encrypted Security Checked Security Checked Security Checked 11/17/2020 5:50:32 PM 11/18/2020 7:45:26 PM 11/18/2020 7:45:47 PM 11/18/2020 7:45:47 PM Payment Events Status Ti mestam ps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 11t1/2018 2:15:35 PM Parties agreed to: Jamie McGill, Dustin Christensen, Bryon and Tara Richardson, Tanner Schwartz, Keisha Schwartz, Ben Zander, Stacey Zander, Todd Muckier, Del: ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Whitetail Properties Real Estate, LLC (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, LAKOTA 1 LAKES RANCH, L.L.C. is a Limited Liability Company formed or registered on 03/06/2003 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20031073479 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 11/23/2020 that have been posted, and by documents delivered to this office electronically through 11/24/2020 @ 12:54:48 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 11/24/2020 @ 12:54:48 in accordance with applicable law. This certificate is assigned Confirmation Number 12748055 . Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However; as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http:i/www..sos.state.co.usibiz certificateSearchC'riteria.do entering the certificate's confirmation number displayed on the certificate, andfollowing the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more inf armation, visit our Web site, http:i/ www.sos.state.co. usi click "Businesses, trademarks, trade names" and select "Frequently Asked Questions. Conceptual Development Guide-Lakota Lakes Component One- Environmental Impacts Z. Noise & vibration- A second residence on the large acreage lots should not produce any perceptual noise of any vibrations. 2. Smoke, dust or odors- A second residence on the large acreage lots should not produce any perceptual smoke, dust or odors. 3. Heat, light and glare- A second residence on the large acreage lots should not produce any heat, light and glare. 4. Visual/Aesthetics impacts- All Secondary residences will comply with the covenants of the PUD and conform to the HOA guidelines and residences are subject to architectural review committee approval. 5. Electrical Interference- A second residence on the large acreage lots should not produce any electrical interference. 6. Water pollution- A second residence on the large acreage lots should not produce any water pollution. 7. Wastewater disposal- All waste water disposals will be handled through approved septic systems approved by the county Health Department. 8. Erosion and sedimentation- The current drainage plan and detention ponds will handle water runoff and current vegetation will prevent erosion. A secondary residence will not alter currently existing drainage plan. 9. Excavating, filling, and grading- This will only take place during construction of 2nd residence and will be completed once foundation is in. 10.drilling, ditching, and dredging- None will take place. 11.Air pollution- A second residence on the large acreage lots should not produce any perceptual air pollution. 12.Solid waste- A second residence will capture waste in the septic system. 13.Wildlife removal- no wildlife will be removed as part of a second residence. 14.Wetland removal- No Wet lands will be affected. 15.Natural vegetation removal- Natural vegetation will be removed only to the extent of where the second residence goes. Any area affected by 2"d residence will be replaced with landscaping. 16.Radiation/radioactive material- none will take place. 17.Drinking Water source- Little Thompson Water has already provided a water source/infrastructure to homes and is sufficient for 2nd residences as well. 18.Traffic Impacts- As parts of the PUD paved roads were put in and any additional traffic will be minimal. Component Two- Service Provision Impacts 1. Schools- Most of the requests for the secondary residences revolve around a desire to house elderly parents and/or existing children and should have no affects on schools. 2. Law enforcement- Most of the requests for the secondary residences revolve around a desire to house elderly parents and/or existing children and should have no affects on law enforcement. 3. Fire protection- Secondary residence present the potential for more fire however all lots boarder a lake that each residence has access to and 1/7th ownership of. 4. Ambulance- Secondary residences present the potential for more ambulance services. 5. Traffic impact- Traffic impact is minimal, and a study should not be required. The subdivision his a private road off of County Rd 54 which the county is in the process of widening. Please refer to the Freedom Parkway project. 6. Storm Drainage- The storm drainage was developed with the original PUD, and the current PUD shows multiple building envelopes. 7. Utilities- Are provided from Excel and existing residences have enough gas and electric to support a secondary residence. 8. Sewage disposal provisions- The large acreage lots provide adequate area for one large or two separate systems to be approved by county upon building application. Component Three- Landscaping Elements 1. Landscape Plan- All landscaping to be approved by H0A conforming to all HOA guidelines listed in the covenants on file with the county. Component Four- Site Design 1. The current PUD is exclusive, and the change is compatible with the surrounding areas and there are no conflicts between the land uses. 2. The uses proposed are the same allowed by the surrounding area and there are no conflicts between the land uses. Component Five- Common • pen Space 1. Common open space is a permanent part of the PUD and separately deeded to the HOA. 2. An HOA has been established. 3. Membership is mandatory for each residence. 4. The HOA documents make it responsible for liability insurance, taxes and maintenance of the common area space. 5. The organization according to its file documents has the power to levy assessments which can become a lien. 6. Provisions for ongoing maintenance included in HOA documents. 7. We meet the open space size requirements so no application for greater density is required. Component Six- Signage 1. No Signage was contemplated in the original PUD and the requested zoning change will not require signage. Component Sever- RUA impact 1. The PUD is not in a RUA. Component One- Environmental Impacts 1. There is not intergovernmental agreement that covers the area of the PUD that I am aware of. Traffic Narrative 1. The sub division contains only 7 lots. I have attached the current survey for the detail of all lots and sizes and all other details required. There are currently 6 homes with one vacant lot. The current round trips per day are estimated at 12. Each house hold has 2 adult drivers and each person works. The sub division has its own private road (see survey) and it is strictly for residences only. 3. The travel distribution is estimated at 50% homeowners come from the east and 50% come from the west. When exiting the sub division you can only go east or west. (see survey) 4. The highest times of travel would be in the mornings when people are going to work and in the evening when returning from work. Three of the lots current have large out buildings all ready built and approved by the county. The HOA is restricting use of ADU buildings to family only which also can stay in the main houses which will have no impact on traffic if so very minimal. Drainage Narrative 1. The current properties are large acreage estates and all existing infrastructure will support a additional ADU building in fact 3 lots have such existing structures already. The homeowners would just like the options to have parents or children in those buildings. 2. I believe we are asking for an exception for 3 reasons A. There will be no change to existing drainage which is already more than adequate and in place. There is a lake and 2 ponds and a drainage ditch to handle additional water. (see survey) C. Each lot is several acres and any building does not affect existing drainage because to the size of lot and has already been established. 3. The lake has been established to handle the water that come in from the Big Thompson River and also taken into consideration evaporation and it is set up to put water back. (see survey) I am unaware of any drainage problems or irrigation facilities near the properties. 5. We are claiming an exemption to storm water drainage. The exemption we will be using is # 11 "An individual parcel with an unobstructed flow path and no other parcel(s) between the Federal Emergency Management Administration (FERIA) regulatory floodplain channel and the project". This is found in Sec. 8-11-40 of County Code. Hello