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Home My WebLink About20192993.tiffUSE BY SPECIAL REVIEW (USR) APPLICATION DEPARTMENT OF PLANNING SERVICES * 1555 N. 17TH AVENUE * GREELEY, CO 80631 w mv.weldgoir.com * 970-400-6100 * FAX 970-304-6498 FOR PLANNING DEPARTMENT USE: AMOUNT $ APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: Parcel Number*: \ 2, 0 l- a - - Address of site: it -1=15 CG Grua x 1 «, ��a �'L Ss�a� 11 Legal Description: lrbk j(C - G LCD (*A 12 digit number on Tax t.D. information, obtainable at www.weldoov.com). Section: 2\ Township: Z N Range: CO(.? W Zone District: Acreage: ) Z , Floodplain: 1OV eological Hazard: YCN Airport Overlay: FEE OWNER(S) OF THE PROPERTY: Name: Company: Phone #: 7‘7:5S Email: -t .r if ."Y'-� ti if €� ��( :. ! ( rr'\ Street Address: ` ` ; C _ City/State/Zip Code: C,.. ,-} �. cc, Name: Company: Phone #: Street Address: City/State/Zip Code: Name: Email: Company: Phone #: Street Address: City/State/Zip Code: Email: APPLICANT OR AUTHORIZED AGENT: (See below Authorization must accompany all applications signed by Authorized Agents) Name: PCj,X% v \ OL U.K.A. Company: Phone #: (Cis,) 71 Street Address: City/State/Zip Code: PROPOSED USE: Email p;_adAp.CkrtiF Ur, Oc3fiiti I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating that the signatory has to legal authority fo sign for the corporation. '"" Signature: Owner of Authorized Agent Date Signature: Owner or Authorized Agent Date y /..,;(.7G// ,.::7 �/ �' C" [: Print Name Print Name Rev 4/2016 DEPARTMENT OF PLANNING AND BUILDING DEPARTMENT OF PUBLIC HEALTH AND ENV1RONNMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 AUTHORIZATION FORM 1, (We), l_ C\ c - (' c' C c\c , give permission to iaf tm, ' c\ ?Cxi'V1-e V1-01_0 (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: 0X53 couLtv . t k C C'CR '3L.o 11 Legal Description: j1✓(iY 1 kO to- CJ of Section a‘ , Township N, Range (--C(s W Subdivision Name: Lot Block Property Owners Information: Address: \ 5 C'C fi 1 3 S` G; '11.1_Oo 4 CC C Sty Lt Phone:CA-YL \C E-mail: ~. OL Ck. (-CLC CAc iO7 0.,"(‘;(.)-000( • CO/Y) Authorized Agent Contact Information: Address- Phone: E -Mail: Correspondence to be sent to: Owner Q Authorized Agent © Both [J 1 by Mail [1 Email Additional Info: Owner Signature: Owner Signature: Date: �co✓'mac' `, Date: USR Questionnaire Planning Questions: 1. The property will be used as a secondary residence for visiting family members. 2. This proposal is consistent because it will continue to respect the agricultural land although it is changing to a different use. 3. This proposal is consistent with Chapter 23 (zoning) because it is used as a multifamily dwelling for visiting family members who come to work on ranch cleanup during the summer. 4. Surrounding land uses are also zoned as agricultural. 5. N/A 6. N/A 7. N/A 8. About 2 or 3 individuals will use the site when visiting. 9. N/A 10. The lot surface is mostly gravel and dirt. 11. There is existing parking spaces available for the residences. 12. Existing landscape includes some grass and trees. 13. N/A 14. N/A 15. N/A 16. N/A 17. N/A Engineering Questions: 1. There are about 3 roundtrips a day made by the residents. 2. Travel routes are on CR 18 and 31. 3. About 50% comes from the west and 50% comes from the east. 4. Highest traffic occurs during the morning and early evening. 5. The existing access will be used. 6. N/A 6A. Drainage is the same as before. 6B. N/A Environmental Health questions: 1. The drinking water source is a well. (#86280) 2. A septic tank is used for sewage disposal system, septic number is G19940165. 3. N/A 4. N/A 5. N/A 6. N/A 7. N/A 8. N/A 9. N/A 10. N/A Building Questions: 1. This will be a secondary resident structure. Total square footage is 629 sq ft 2. The existing structure will be used as a secondary residence. 3. The structure will be used as a secondary residence for visiting family members. Dear Neighbor, I am your neighbor at 14753 county rd 18 and my name is Laura, I am reaching out to let you know that I have created a secondary residence for visiting family members. I assure you this will not increase or change traffic down county rd 18. It will not create any form of encumbrances. If you have any concerns or questions please give me a call at (970) 313-7620 or you can contact me by email at gran.laura970@grnai.com, Thank -you very much, tg� Your neighbor L"ura. USR Questionnaire Planning Questions: 1. The property will be used as a secondary residence for visiting family members. 2. This proposal is consistent because it will continue to respect the agricultural land although it is changing to a different use. 3. This proposal is consistent with Chapter 23 (zoning) because it is used as a multifamily dwelling for visiting family members who come to work on ranch cleanup during the summer. 4. Surrounding land uses are also zoned as agricultural. 5. N/A 6. N/A 7. N/A 8. About 2 or 3 individuals will use the site when visiting. 9. N/A 10. The lot surface is mostly gravel and dirt. 11. There is existing parking spaces available for the residences. 12. Existing landscape includes some grass and trees. 13. N/A 14. N/A 15. N/A 16. N/A 17. N/A Engineering Questions: 1. There are about 3 roundtrips a day made by the residents. 2. Travel routes are on CR 18 and 31. 3. About 50% comes from the west and 50% comes from the east. 4. Highest traffic occurs during the morning and early evening. 5. The existing access will be used. 6. N/A 6A. Drainage is the same as before. 6B. N/A Environmental Health questions: 1. The drinking water source is a well, (#86280) There was a GWS-44 Residential Well Permit Application submitted to change from 1 residences to two residences. A recommendation from the Division of Water Ivan Franco. The well permit number is 86280, and is able to sustain up to 3 residences. 2. A septic tank is used for sewage disposal system, septic number is G19940165, there was a new absorption bed added in 1995. 3. N/A 4. N/A 5. N/A 6. N/A 7. N/A 8. N/A 9. N/A 10. N/A Building Questions: 1. This will be a secondary resident structure. Total square footage is 629 sq ft 2. The existing structure will be used as a secondary residence. 3. The structure will be used as a secondary residence for visiting family members. Notice of Inquiry Weld County Pre -application Case # Date of Inquiry PRE18-0338 12/21/2018 Municipality Fort Lupton IGA Name of Person Inquiring Laura Granados Property Owner j Laura Granados Planner Maxwell Nader Planner Phone Number 970-400-3527 Planner Email Address mnader@weldgov.com Legal Description E2SE4 21-2-66 LOT B REC C EXEMPTION RECX16-0140 16-0140 Parcel Number 130921400012 Nearest Intersection CR 31 AND CR 18 Type of Inquiry Use by Special Review for a second dwelling The above person met with County Planning staff about developing a parcel of land inside your designated ntergovernmental Agreement/Coordinated Planning Agreement Boundary. C.linty Planner's signature Would you like to pursue annexation of this property? NO Date of Contact Comments: Signature of Mu nicipali , " epresentative Title YES Please sign and date to acknowledge that the applicant has contacted you and return this signed form to Weld County Department of Planning ervices. Weld County Planning Department 1555 N 17th Ave, Greeley, CO80631 (970) 400-6100 ' (970) 304-6498 Fax 2018/107 Hello