HomeMy WebLinkAbout20194363.tiff USE BY SPECIAL REVIEW (USR) APPLICATION
I•� . I ` DEPARTMENT OF PLANNING SERVICES * 1555 N. 17TH AVENUE *GREELEY, CO 80631
www weldgov.com * 970-400-6100 * FAX 970-304-6498
FOR PLANNING DEPARTMENT USE: DATE RECEIVED: -
AMOUNT$ CASE#ASSIGNED:
APPLICATION RECEIVED BY PLANNER ASSIGNED:
Parcai Number*: 1 - L_ � - {_' (*A 12 digit number on Tax I.D
information,obtainable at
Address of site: /1 /r - G rr id:,O, G O `,4 WWW_weidcov corn).
'4."-•'6•3 f.
Legal Description: S Gt? 14/f _ Section: / ) Township: ti:/ N Range._? ‘A/
Zone District: Acreage: Floodplain: Y N Geological Hazard: Y N Airport Overlay: Y N
FEEOWNER(S)OF THE PROPERTY;
Name:
Company:
Phone#: )/ Email:
Street Address: l'7/) _ `= t J C- ti t/ /V).
City/State/Zip Code: -R L 6, L• -
Name: .
Company:
Phone#: _ Email:
Street Address:City/State/Zip Code:
Name: _ -
Company:
Phone#: Email:
Street Address:
City/State/Zip Code:
APPLICANT OR AUTHORIZED AGENT: (See below:Authorization must accompany all applications signed by Authorized Agents)
r
Name: ,
Company: ,
Phone#: ))f ' r• ') - 1 • f Email: _ ; 7 tr.• l .�,:. I._l_r' `-,r .2 4. c.
Street Address: 4:,'j (1,
f' �t r •,;
City/State/Zip Code: i• •., )
PROPOSED USE: — - CL,
,: �:i t; c.
I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or
contained within the application are true and correct to the best of my(our)knowledge. Signatures of all fee owners of property
must sign this application. If an thorized Agent signs, a letter of authorization from all fee owners must be included with the
application. If core aid is a fee owner, notarized evidence must be included indicating that the signatory has to legal
authority,ta"�ign for e o par tion. �--
Sigr{ature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date
keV1 A/I 14
Print Name Print Name Rev 4/2016
DEPARTMENT OF PLANNING AND BUILDING
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONNMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
f 111 ■fJ ,
AUTHORIZATION FORM +n
I, (We), eColS {ILA?. ( I . , give permission to y (AdY1 r 1'be
(Owner-please print) (Authorized Agent please print)
to apply for any Planning, Building or Septic permits on our behalf, for the property located at (address or
parcel number) below:
Legal Description; SLU )L _ _ of Section 13 , Township, 2 N, Range ( S- W
Subdivision Name: Lot Block
Property Owners Information:,,
Address. ``L �� LC C�* a �
Phone: _ 3- S3 4 92_,6-V7 E-mail;
Authorized Agent Contact Information:
Address: P D f `} }
Phone:7e0-qR7—Sign E-Mail: �i' � � nG � � , �. IZZ Q
Correspondence to be sent to: Owner Authorized Agent Both/ by Mail X, Email
Additional Info;
Owner Signature: A C_ .c Date:
Owner Signature: Date;
Trimming, 2Yrs.Seasoned
Disease Treatment! O�imN`1IrSe'“e1185ea��Frelr,t O Oak,Birch and Ash
Stress Relief Free Delivery and
Stump Grinding Stacking PRO POSAL
24 Hr.Emergency Service Prompt Service
--
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO,
DATE
PROPOSAL SLI9MIITEDTO: WORKTO BE PERFORMED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
f)61 8
/ , �•l.` �. 1 H 4' 4 l ` .l Cl f -•t` -1, Lo - \`i1C.)l.. , t��y
irk j}I, �} , •,'`I\- L {' ��''{x\[ ' - �1 ,, � 4-t/�.��'�1] /•�T/�+�-� ,'/ � 7 Ci !. �'�Sl
/- .I (- r f) . h I/- �D I- Il � 1 ,tip 1 �i -f'{ I . r -'l ( 1'`''.
r r`
2 ; _-.r:'f., 4 '/ / I! \r , L' •'1`.) `,, ... {
r r F, } � ! r �/�C �i i r l ', {'
71-
.7))r ``! C r. ;4'i1� !Z�' [ '1 1 (. T )-i C � � . C
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars($ )
with payments to be as follows
Any alteration or deviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control. —
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE
DATE SIGNATURE
Trimming,Removal tn��y {ee Service an y firr 2Yrs.Seasoned
Disease Treatment o�tFa Since 1985 �' 08� Oak,Birch and Ash
Stress Relief Free Delivery and
Stump Grinding :': .. Stacking PRc POSAL
24 Hr.Emergency Service Prompt Service
P.O.Box 305 'PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO.
DATE
PROPOSAL SUBMIITED TO: WORK TO BE PETiFOI MED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
(s, l4 ti41n 1?-4--2D- ). 1-)I �- �. i�k�C -C�ti ;Ir I. (C \
1 ��'5 }�_ \4 }� vti� i•[ ` �C;v�(L:. vV/\f�-.l7 11Lcr 7'«• -e ` �4l: v . \\�\r I �l�r�h't L,1'-,
�f\i f l L"t r /4 S ..1++ Li i i t^ly l �--rC 1k�{" ! ,4JlF C,.I.-ti4 i(J':.: 1�'- -� J{ l 5O.
h-'S f �1 l {�`` 4I ,-f{.L V ti L.f:�_ t_i ,
D ,o,A.k pc) L22 ilk_/T4 1A C.J2 - `
44'.3 ( Slew 'Zi-3-L 0"B) tiffs 1{-tQ- Cara c0\c(A.o1 {q 1 i e J\' -+c
cl r)1, . i- - (ND,/\{\ 1�r"l i 1+��l C I Li-D ilk A r 4 \,\_(c e', ~�
I.r r i ,r� _ t ` 1 C r9 D e\ C44 r r� ki\A ,rc A ,. n. �?,r_�: v f S i IM r. b 1 A-Inf7 C 4.C
T " 1_ {'5 f_ ` a 31 3 , 7 r (. r.1 r I\
y/ r
� ,_t _ C �_ i`. Y I I s. vY . A5`lc 1�. , i 'v.F .5. U ..J
I .I}1 Ii7 L, 'L r' !J1 / .- / 4 , • r'_ J } Illf. • 7r/
leAq n )`WEbrW V-d2e c o✓ l P/; cre cr -1-1.A=1144r -she So (( Fr.c.e /
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
— — - - - _ - Dollars($ )
with payments to be as follows
Any alteration or deviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate.All agreements Per
contingent upon strikes,accidents,or delays beyond our control.
Note-This proposal may be withdrawn by us if not accepted within days,
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE _ _
DATE _ _ — — _ — SIGNATURE
Trimming,RemovaTreatment l Opt c2` Tr5 Since 1985 e arr�F7rP
Disease ooh Oak Birch and Ash
Stress Relief Free Delivery and
FRcPOSAL
Stump Grinding ,ccTM,;i, Stacking
24 Hr.Emergency Service Prompt Service
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO.
DATE
PROPOSAL SUBMIITEDTO: WORK TO BE PERFORMED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
yur
P ,.. ----.." a'' Liu rS (6)4- (Nr 1. Jr` L,e0 ^ CL02 rTD cV• 'TOO AM
f ,.•'r of 1 (--,i < (\,{ s , i(. - t .' \i; ..i: .t• Y \N. •1ti,,s ,,-1.
(if ` J
l
[
{- ' 1 4 I.i; .00 i., ' l') \L ( ,, •,.—\-,\ '.',.-1,- 4 006\ ';,;()X('(:, { �4\(l —
r.1'. !- tit rrrr a ' Vs',.:
- /!!.- -1.f f/ �
-- - — - 1 _ 7'''44.-;!__ti �. l rt}_ 1L'I r r. ( iJ „ � 1ra !'- rl `
1 fj
1, A- `1 •J .t� ti-� -
'.'1 - i /1 A, if -I } ?;1'1 ! .,`.I r • :'r .. r 1 L f}1 • ' a- •'r'
i
1�. - r! :l t i..k ((ri L r.-r J r / r, i l , r , - / 1-f ( t:--- _-
'Jtj {: [ `�(r; s {� ,A. ! ff.,f ? J f;, f. { '+ 5
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars($ — )
with payments to be as follows
Any alteration or deviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control. —
— — - — — • Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE — —.
DATE — — — — SIGNATURE
ee Trimming,Removal Fa�`11Y�r Since 1985 e and
F1,. 2Yrs.Seasoned
DiseaseTreatment Oft ooa Oak,Birch and Ash
Stress Relief Free Delivery and
Stump Grinding x;R * Stacking PRO POSAL
24 Hr.Emergency Service Prompt Service
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO,
DATE
PROPOSAL SIT BMIITEDT0: WORKTO BE PERFORMED AT: _ _ —
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the matei ials and perform the labor necessary for the completion of
,
-- 1 r l !'f ll, (-2k-
, 4 \ ([l I`.A. i A 1. { ‘.4
y)1` ytiyl� t-, . .,i i., It _ S[ - \C . II
_t '``.,��rti LI S ?✓`` '14 S fit' [�.i_ --,r 1t:'t�'\ ti c'``t `
• 4�� \l� '' lr }t I <1 \ � `' r '� I'll '1\ If i_ r\l, �
r_l r
19— 'i I\ .. r i_LI r1L, :� l' '�v .t, _ `-I-y---mot +i ( � l i\C' i t
{ .4, ( . tiv. \'\< L\/r f i kit (1 L./ 1, l I r. a(On!. C r ,
aI . c
+ f I 1 L ! (1.•-••• 1-6
/e -Co C.1�7G, ha s
C ‘2A.-/ L. t.; t n� C-:(4-e__\.}-2,(Docc(
r-ro.el r��' r'r r '�„ - : l,�•, ,- 4 ; '1.tilti/� `.. ,�, r. of l r�rti-� 1_\ S7T1ST
J/) I'r'.{_ ,.'• %\\ l' 1'vl.C-4 `` 1 r !f r r� [1 ?.,;> 'I
•�; .L,,..,1. '11[;, w �\ l •1liL , k '• t � �,-�1_
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
_ Dollars($
with payments to be as follows
Any alteration ordeviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order, and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control.
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified,Payments will be made
as outlined above.
SIGNATURE
DATE — SIGNATURE _
Servic
2 Yrs.Seasoned
Driseas Treatment) �i F'6"' TT5 nce 1985e and Ff'�rL'coey Oak,Birch and Ash
Stress Relief �F Free Delivery and
Stump Grinding ,s;^,r;t Stacking PRO POSAL
24 Hr.Emergency Service Prompt Service
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO.
DATE
PROPOSAL SUBMIITEDTO: WORK TO BE PERFORMED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose ro furnish
the materials and perform the labor necessary for the completion of
1 ' • �I/ j 1 t • r // ))Lf Aire-4 i+a�rift 14-2-e- oral,
f/ ff f f t
r .r rJ r1 li. r•r, r ef,.r" f { ,'�'� r` f-. r"lf•• �:• r rr 1, �r• }• J^;f
a{__ , xi i' r }I_� �J f l O ,) 1 ITy' 1 l��r'•'./l,r f' �,�. 7
•�_ t t , 1r� tT, (7 r is f 4 L. 1' .r;�1 � •..4 C ( '•.
// If'''. 1�4 �, tif \, l` r4'i11 � .E rr �} Fiv .
f�\
.); i�'- 1� `i .l\ 1 .i l'i� /..0 f��� 1� �.}6 k 4 f {1 '5-,1
', "�- 1 ♦
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars($ — )
with payments to be as follows
Anyalteration ordeviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control.
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE
DATE SIGNATURE _
ee S T2 Yrs.Seasoned
Driseas Treatment Removal
Jika��ly Tr Since 1985e and�rretvooO Oak Birch and Ash
Stress Relief Free Delivery and
Stump Grinding y�,:;. Stacking PRO POSAL
24 Hr.Emergency Service Prompt Service
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO.
DATE
PROPOSAL SUBMIITE_DTO: _ WORK TO BE PERFORMED AT;
NAME ADDRESS
ADDRESS CITY,STATE
•
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
I 1 )//6-'{'
,)4 i'•f' 1 E� �i �L',i`t..k ) i.. _ '1 I r� ;/��. 7 X t'•..�:'L' -
�` 1f{'� � fl f f'c'i"l r r ..�_f
G. •
1'T'f •
,),f ; c( (( it4. :1 \ 5.. .. • 00 V ) } £_� 1L-CtC +{.,i,t _ \.c. L17 -
. 2. c.-/ (1
, ` 1` I r I ,r l
.{ ir�.'r' 1 I` � � ��� f"h :°•1 wl f ! r { L "�r .i�' �..4 {I �' ��� ll \
•
L !' _1 r tlrl { Lv' / /f
,S . .-� [ `}f' r•\ J'; \ r- 1� ( i� "' fr'c til 'f�-4 r1f 'C ��� Jrfrf.)a /
{r 7 1
l [ J i
, , , 1 �•�_ f ti .'1,.L u < _ Hi`� � UI_ _f r� 'r
C(
^L's
Ali material is guaranteed to be as specified,and the above workto be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars(5 •_ _ _ }
with payments to be as follows
Any alteration ordeviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order, and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control. —
Note-This proposal may be withdrawn by us if not accepted within _days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE
DATE SIGNATURE _ _
ee Timmin2Yrs.Seasoned
DriseaseTgreatment Removal
Ohs Fa�Y1y Tr Sin 1985 e ana r.,9- , oa Oak,B Bch and Ash
Stress Relief Free Delivery and
Stump Grinding Stacking PRO POs n L
24 Hr.Emergency Service • Prompt Service
P.O,Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6124 SHEET NO.
DATE
PROPOSAL SUBMII1EDTO: WORK TO BE PERFORMED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
Pa, -c?
-r
`
1
al-- Ste- !L-Q /Q 1 ___, 1',,Syr�, l! fr/ --/ /r 'Y t_._,___. ',-hts I.. / —_— ±,--- ,./v',..:?:-`,,, t.../,.(c./ _.
• I
'/. /,,_L l `r•! ., 1 i _(S,1.rf -7/- i-. r/ I s' (. .} t-f lr• Ve-c 4', f .'f` 4 -/./1�4r'f
rye}..,1 rr )
/ '.,A• ii� / }-Z ' . . _ -,... •-,,, ••• L- X41 .){.: 1r4 I,11 L,- '\C iil1" irdlr'%-r• 11i.„ ) —
:I.7-- — 1 ,L,, . 1 L. _ r..s, .,c I� i �.c , ( ).e_ !", / D 1." ,, l' f fr:�rr/, ,1{:.r+
d { ` L,, . �\ L {' ' c.(' 1• 1- , .4 .• r-(4.c( ..f is f rr'{ //v ( .,)t4lC
1 fi r . , -
1 f
+ 6-,— 1 1 Lr ii., , .c i.j\r. _, I) c•'-. )1,1c L ) ,,,._ ''. r_ 'l N. '> r-1L_ L
, / 'i,1
Jrr' t� Ifilr / Hr ,+ r•r 1r1(4' E (7/rc.-// �_ l',.) (',1/{' f :�'I •,'''',/:-/ r
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
_ Dollars(S _ _ 7
with payments to be as follows
Any alteration ordeviation from above specifications involving extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control.
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE _ _.
DATE _ SIGNATURE _ — --
ee 2 Yrs.Seasoned
Disease Treatment Removal O�tF.5(1.` r Since 1985 e and Frre ooh Oak,Birch and Ash
Stress Relief Free Delivery and
Stump Grinding ,�:�•.:�� Stacking PRA PQSAL
24 Hr.Emergency Service Prompt Service
•
P,O.Box 305 PROPOSAL NO.
Dupont,CO 80024
720-840-6120 SHEET NO,
DATE
PROPOSAL SUBMIITED TO: WORK TO BE PERFORMED AT;
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
fr f '/�C�/r./r + / f'f- .( +J.; f' f7�%.f I' l.C '; f,
C
1r rfll
\\, (�
5 1Y
T . ~ 11/1 .All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars($ _. 1
with payments to be as follows
Any a Iteration or deviation from above specifications involving extra Respectfully submitted .
costs will be executed only upon written order,and will become
an extra charge over and above the estimate. All agreements Per
contingent upon strikes,accidents,or delays beyond our control. —
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE .
DATE SIGNATURE —
rao
Dr seas Treatment Jt •ea• jr5 nce 1985 e and F`f4,t�{'o Oak,B irch and Ash
Stress Relief Free Delivery and
Stump Grinding ;r Stacking PRO POs A L
24 Hr.Emergency Service Prompt Service
P.O.Box 305 PROPOSAL NO.
Dupont,CO 80024
120-840-6120 SHEET NO.
DATE
PROPOSAL SUBMIITEDTO: WORK TO BE PERFORMED AT:
NAME ADDRESS
ADDRESS CITY,STATE
CITY,STATE DATE OF PLANS
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
t o l / Fh 1-,,n ).- /77CG, 0:OA-NC
//'' 6E./._() Ci.T�r" c`� nnci_‘,k ))`;i�,t�1 tlr� ,r 4b'q (s, •,./ (7r,��` c,
' ( r2 j -n L- a (.fly L L.;'; -. ('• -l-- - { - ?�* _. r
l 4` c �i .r_ :\C\s, \t 1 } 7 ft(77 • r't,7_` \.- I Yz ti (l- 1.• VA-A, fl (l \{\ C
(-47 f c Cc , fp \--CD `� ..:� r�•t , c d12,_ �>rs- \c1
-! ... L t_ \' . C cr 1� ' v� 1. S' l
r�1-r. i c.1 - ? )•:. �� --t lti ('. 1�.�V-,ti'�`} �r�_ S l: � \L� i� ��- t N\i Jti �,- ��
I 5 ti {. 1 i• �f 1t_`_'-\ . .CC, L:. ��� (i' .rt I -1-I ) , i.)Vie" �'--'•l`l
..�< I. -.{ ..1xC'.t rc .� . C - , -. �V C.L. ,
1 1 .')
J 7 ,•l• 1
Ic. r C. ti_ .�.ti t _ t { 5. 1 f `, c_C
6l ) r,� kz �4 ) ['r ti_ ,`��, 1 W (•1 ,
O-1 Vti- -'s 4 ,v+i rr t.+ rL41 1\�,'(_S. �}r'�L i+ :
,r/i l 1t: I r{ r ,-� \ ti\ •.�
4
�1 < 1 C -{- -t. �� 'i- i,t s �- •_--i C: 1 .yr_ ',r \ • '1 t 3 L -=�-
•
— ` <__t_! // � l� 11ti� t - 1 1 1 Vl L_4 Lr _=.r i U i 1 L
All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted
for above work and completed in a substantial workmanlike manner for the sum of:
Dollars{$
with payments to be as follows
Any alteration or deviation from above specifications invoking extra Respectfully submitted
costs will be executed only upon written order,and will become
an extra charge over and above the estimate, All agreements Per
contingent upon strikes,accidents,or delays beyond our control.
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payments will be made
as outlined above.
SIGNATURE
DATE _ SIGNATURE -
lab
Notice of Inquiry
Development within an Intergovernmental Agreement
ff p_U h T i . Urban Growth Boundary
Pre-application Case # PRE19-0112
Date of Inquiry 4/26/2019
Municipality with CPA or IGA Keenesburg
Name of Person Inquiring Justin Dickmann
Property Owner Guest Family Trust
Planner Chris Gathman
Planner Phone Number 970-400-3537
Planner Email Address cgathman@weldgov.com
Legal Description SW4 of Section 13, T2N, R65W
Parcel Number 130713000015
Nearest Intersection County Road 18.5 and County Road 49
Type of Inquiry Firewood storage and parking of two commercial vehicles w trailers
The above person met with County Planning staff about developing a parcel of land inside your
designated Intergovernmental Agreement/Coordinated Planning Agreement Boundary. In
accordance with the IGA, found in Chapter 19 of the Weld County Code, the applicant has been
notified of the IGA and the County will not accept an application for development sooner than 21
days from the date they contact you unless this signed form is returned with the box checked
below indicating you do not wish to pursue annexation at this time. You are asked to sign below
to acknowledge that the applicant has contacted you.
Date of Contact with Municipality: TOM (j -- t 16)I,
'0,We are not interested in purs ing annexation with this applicant at this time.
Ot-
ui ((mo , k tidal u ' C+- 4u --i-itMe,
n We request 21 days from the date of contact to pursue annexation with this applicant.
' ) 1,� r' j2oI /1
ir)
Signature of Municipality Repr sentative Title Date
Weld County Planning Department
1555 N 1 Th Ave,Greeley,CO 80631 -- (970)400-6100- (970)304-6498 Fax
Hello