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HomeMy WebLinkAbout20191682USE BY SPECIAL REVIEW (USR) APPLICATION DEPARTMENT OF PLANNING SERVICES * 1555 N. tr" AVENUE * GREELEY, CO 80631 w w. eldg ov. co m *970-353-6100 EXT 3540 * FAX 970-304-6498 FOR PLANNING DEPARTMENT USE: AMOUNT APPLICATION RECEIVED BY DATE RECEIVED: 12/12/18 CASE # ASIGNED: U R18-0127 PLANNER ASSIGNED: D. Auncst Parcel Number*: / _/ — - - ) - Address of site: Legal Description: Zone District: A I FEE OWNER S Name: Cornpang: Acreage: 4143 Floodplain: OF THE PROPERTY: (iA 12 digit number on Tax I.D. information, obtainable at www.wel dciov. corm. ection: 26 Township: 1 N Range: 66 _1+ eological Hazard: YCNO Airport Overlay: YCNie Phone #: 4u -a Street Address: adeocar349LLICA City/State/Zip Code: Name: Company: Phone #: Email: Street Address: _ City/State/Zip Code: Email: Name: 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: Company: Phone #: -� '-� '',,�►, Email: ..ciarki &tic cif, fro asois Street Address: +' t, rAga City/State/Zip Code: ( i i Liz) 5ciza PROPOSED USE: t Cs gcm, a, 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 to sign for the corporation. 7 _kph Cit Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date coke- Scrim vic It; Print Name Print Name Rev 412016 RJeerii-LyeS2eth-cfies 32,04.,„S 5) yi L) {6 h) AS “art_,,ositsaerroweta. es leia ) Stner tau r°kil 3— )4) 014 I 1014 dia 5).. Istrinsarteite ...aregokesegovisa 2) Vet 6:}-7%.,c' }'& ` 4>cap-Aenters, tatierciteras a n: &s'w a e 4 US aotitiato c.P% net, „ndrei An,42- �}- iwi'") ht Drainage narrative 1. Where the water originates if it flows onto the property from an offsite source? Have never had this happen can't answer 2. Where it flows to as it leaves the property? Have never had any run off water leave the property it is all sand here so it drains into the ground very quicly 3. The direction of flow across the property? Have never had it happen so unable to determine if it ever would 4. If there have been previous drainage problems with the property? Never Notice of Inquiry Development within a Coordinated Planning Agreement or intergovernmental Agreement (CPA or IGA) Boundary Date of Inquiry 8/23/2018 Municipality with CPA or IGA i Fort Lupton CPA Name of Person Inquiring Claire M. Scavello Property Owner Claire M. Scavello Planner l Diana Aungst daungst@weidgov.com 1 Legal Description Lot 12 Block 2, JoAnn Sub ' Parcel Number 147126401007 Nea rest Intersection CR 4 and CR 3375 Type of Inquiry PRE1 8-0241 �k?t Grooming and a 2nd home The above person inquired about developing a property inside your designated CPA or IGA boundary. This person has been referred to community by Weld County Planning to discuss development options on this site. Visit Chapter 19 of the Weld County Code for specifics on your agreement_ Weld County Comments Do you wish to annex? Name/Title of Municipality Representative !AN,. Municipality Comments S cA'h,[1, ahtletinu2094 es Res Viukte-- cud& oat- r[,/,: f h)UPTS I I CI LI\ �kp+ Signature of Municipality Representate Signature of Weld County Planner (Please return the signed form to: Weld County Planning Department 1555 N 17th Avenue, Greeley, CO 80631 (970) 353-6100 x3540 (970)304-6498 fax Hello