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p9 USE BY SPECIAL REVIEW �USR � APPLICATICI� , , . , , , . . �,1; ,,, � , '�� , pel�.7rtment
`"�� !' DEPARTM � NT OF PLANNING SERVICES * 1555 N _ 17TH AVENUE " G � EL�Y ,C�G 8 [}g3�
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� � www. weldgov. cvm '' 970-353-fi100 �XT 3540 * FAX 97p-304-6498
� OR PLAIViw1111fG Q�EP,ART�11 '� N7 USE DATE RECEIVED ;
AMOUNT $ CASE # ASSIGNE �:
APPL1CATlON R� CEIVED BY PLANNER ASSIGNED:
Pa �Cel Number* � � p � � - � �! _ � _ d Q _ ('� � � ("A 12 digit number on Tax I .D
informaiion obtainable at
Address of sfte: :���?�' G� �'x�� �yre � ���.� , � o gp 6 � � '
— _ www .weldaov. com) .
Legal Description : �cJ-} � SE �'/ aF Section : � � Townshi
p : �o N Range : (, (n W
Zone District : � Aereage: ZC� F�55 Floodplain : �Y �N Geological Ha�ard :C)Y �N Airport Overlay :CJY �N
FEE O'JVEV� R(Sf � � TFi� PR�C7 � ER7Y •
Name : f� v f-, �
Company .
Phone #: 3b'�' 5�l8 - Q15 `,� Email
S #reet Address : �j+' 07 l u � s� fl uv� � (e 0 S
CitylState/Zip Code ; ["7 �,, '1C-kcrs � u .- .. rrap �2es� �� �
Nam � :
Campany
Phone #: Email ;
S# reet Address
City /State/Zip Code :
Name
Company :
Phone #: EmaiL
Street Address :
CitylState/Zip Code : — �,
APPd�I'CANT C}R AUTI-IQ� f�� Q� (Seebelowr. Authorizationmusfaccorr}�anya!lapplicationssigneribyAuthorrzedAgentsJ
Name : �.e � f � ar � r c�
CompanY � o �a w � ' I..� n a Ca � h � � � C
Phone # : g'7fi � 57 � �d �8 Email : •rr � ,� � � C C � rt� � �' ,� �
Street Address ; ��. � ;� r,,., ,� ,� � '
CitylStatelZip Cade : (�, �.�. �, t ,�.� �'�, d � � �
P �iOPOSEb USE . ,�„ rt � 5 � � �� ►4.�
I (We ) hereby depose and state under pena � t�es of perjury that all statements , propasals , andJor plans submitted with or
containedwithintheapplicationaretrueandcorrecttathebestofmy (our)knowledge S'+ gnaturesofallfeeownersofproperty
mustsign this appfrcation Ifan Authorized Agent signs , a letterofauthorization from all fee owners must be included with the
� ' ation If a corpor �on is the fee owner, notarized evidence must be included indicating thatthe signatoryhas to legal
a � � th ilyto sig� rthe t� �pffration
rV\- R � . . � �Y � I '! �
� �gri� ture: Owner or Au h�sri� ed Agent Date Signature: Owner or Authorized Agenk Date
J�.�,Y'�` �'2 G 1rG � �
Print iVame Print Name Rev4/2016
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USE BY SPECIAL REVIEW ( USR )
ti; k�;�,', 'J� pR �CEDURAL GUIDE CHECKLIST
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�•- DEPARTM � NT OF PLANNI �fG SERVICES � 1555 N . 17�" AVEN�IE * GREELEY , CO 80� 3 '�
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APPLICATIDN REQUIREIUIENTS
The applicant shali submit 1 - hard copy and 1 -electronic copy containing one of all of the items listed .
The application will be reviewed far completeness during the Completeness Review.
-'' • .� Submit a copy of the Pre- application meeting minutes .
��l
� � Submit application form (see attached ) .
�� Submit Ap�licant's re�resentative/autharization form if applicant or autharized agent is
_�
different than owner , 5ubmit incorporatian documents if the awner is an L.LC , INC , etc .
�' Submit responses to USR questionnaire. See attached .
�+��� Submit USR map with paper dimensions of 24 " X 36" . See attached for map requirements .
{�'� Submit Certificate of Con�eyances form and all attachments . Contaet a title company to
— obtain a Certificate of Conveyances . 7he Certificate of Conveyances expires in thirty days
of the signing date an the cover sheet .
�- -� � Submit a list of all the surrour�ding property awners ( surface estate) wit�in 500 �eet of the
pro�erty �nder consideration . �his list must be a certified list of the names , addresses , and
the carrespondrng parcel nt�rnber assigned by the Weld County Assessor of the owners ' of
property . Also submit the affidavit stating that the fist is aceurate. This list shall be compiled
from the records of #he Weld Gounty Assessor, #he Weld Caunty Website , www . co . weld . us ,
ar a person qualified #o d � the task. This list expires in thirty days of the date campiled .
�f r�--"� Submit co of document shawin eWidence af ade uat� water su I e . well ermit or
� �Y g q Pp Y { g • p
leffer fram water district) . !f using a well , please camplete the a#ached Water S �pply
lnformation Summary,
� � Submit ca af dacument showin evidence of ade uate sewa e dis osal e . se tic ermit
�---s�--` PY 9 a 9 p � 9 � p �
�.—_� or letter from the sanitary sewer district)
` �� Submit Weld County Access Permit Application Forrr� , if required . Clearly indicate all
existing and proposed accesses (residential , agricultural , oi! and gas , ditch , etc ) . Include
ph�tos looking into , left and right for eac� existing or proposed access . Applications will nat
be � rocessed without photos .
` �' � � Notice of Inquiry or letterlemarl from a munici�ality if tne site is located within an
Intergovernmental Agreement ( IGA) boundary ar a Covperat�ve Planning Area (CPA} .
Detentian desigr� summar�� �d in a Crr� in�g� Report if required per pre-appiication meeting
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Tra₹fic St�rdy�f re�uir�e��per pre-�� 15cat`o�� �mee�in��� in �es.� �It���� �
�� If �ialatiorw ease hald a c �r�imunity meetint� f4r own�rs +nrithin 5Q0 f��et of property baundary
and submit meeting minutes . ��� d,1 � � �.
Submit all required documenfs on a �or �ia email in . pdfformat. � � � �"'�� �-°Q'�
,��� Application fee
` r ` � �
� In�estigation fee, due only if thfs is a vaol�tic� r� � �~� � � w�`� , ',- �_ �9 �� �`� `� � f ' �a v c�'
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? } R ^ USE BYSPECIAL REVIEW {USR ) QUESTIONNAIRE
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Answer the following questions on a separate sheat . If a question does not pertain to your use, please respond
with "not applicable" For assistance with some of the�sa questions see this website:
i�ttp: llvsruw. cfl. w�ltf. �o. uslUep� r� rnsnt � {Plannin4 �onrna�LandlJseP, s�qii�a�ian5As5ista ��CelA}��IiGatior}A� 5istance . html
PI � ►i ►� ine� Ll�uesEians ; Ptanr�er � r� Gall 9T0 -3�3-C9a{} x354Q
�,/t .' Explain . in cfetail . tl�� prap�sed use flf #�� property .
�� Ex � l� in liow # his pr�p4s �l is Gon� fs#ertt with the intent of the Weld County Code, Chapter 22 of the
Com �r+� lz� rrsive �' lan .
t �`" Ex �yl� in ht�w this prppa5� ! is Gansistent +wv� th the ir�#ent of the Weld Caunty Code, Chapter 23 (Zoning ) and the
zcsne dislrict in wf�ich it rs laeated .
�'� De� cribe �v�ai iype of land uses surround ih� site . Explain how #he proposed use is consistsnt and
campat � bfe �n+it� su�raunding lanci use�
�a What ar� the ��fliirs �nd days af op�r�tiar�'� (e. g . Nicanday thru Friday 8: 00 a . m . to 5 : 00 p m .}
� L `€st the nur�� k�er vf f�IW t �me � ndlor p�rl tFr� e e�pKoyees proposed to work at this site .
�s�' If shift work fs praposed fnclude th� nuet'rber of errt �loyees per shift .
� L 'rst tt7e numb�r of ��eo{�Ce +�r+ ho +uvill �sse Ihi � sEi�. Include contractars , truck driWers , custamers , wlunteers , ete ,
L�4? ,14 � his rs 2 �I� iry , li�+estaek confin�me�t operatton , kennel , etc . , lisf the number and type of animals
� Describe tk�e type of I�at s ��rface arid the square foatage of each type. (e g . asphalt , grav� l , landscaping , dirt ,
grass , k� uildings�
; ,-t'1� Nt�+nr many �ar�eing s�aces a�e prDposed ? How m � rry handicapped (ADA) parking spaces are proposed?
� Explain the existing and praposed landscaping for the site .
� Describe the type af fence proposed for the site (e . g . 6 foot chain link with earth tone slats )
� Describe the proposEd scr�ening for all parking � r�d outdoor storage areas .
If the � ft� is Io��6ed io� a fl �adplain outdoor storage is restrie#ed.
;; . Explain �ny �roposed reclarr�ation procedures vuhen terri� inatian of the Use hy Special Review aetivity occurs
�1'�� Who will prouide fir� protection to the site?
.' List all proposed on-site and off-site impror,ements associated with the use (e . g . landscaping , fencing ,
burldings , draina �e. � ur�� lanes , etc. ) and a timeline of when you will ha� eaeh one of the impro�ements
completed ,
Engineering questions: 970-353 -fi100 x3540
,�h!Describe how many roundtripslday are expected for each +.ehicle type: Passenger CarslPickups , Tandem
Trucks , Semi-TrucklTrailerlRV (Raundtr'rp = 1 trip in and 1 trip ouf of site}
� Describe the expect �d tr�u�l rautes far site traffic .
� Describe fhe # ra �nel c�istribution along the routes (e . g . b0°Io of traffic will come from the north , 2D% from the
s�uth , 30% ff4f71 tf� e east , etc . )
� Describe the time of day that you expect the highest traffic volumes irom aboue .
�F' Deseribe where the aeeess to the site is planned .
• ; f
��'y Drainage Design: Detention pond summarized in a drainage report is required unless the project falls under an
exceptian to stormwater detention r�quirements per code section 23- 12-30 F . 1 .
� A�boes your site qualify for an exception to stormwater detention? If so, describe in a drainage narratiu� the
��--' follawing :
1 . Which exeeption is being applied for and include supporting documentation
2 . Where the water or'rginates if it flows onto the property from an offsite source
3 . Where it flows to as it ieav�s the prap�rty
4 , 7he directian of flaw across the properEy
5 . If there ha� been prev�aus drainage problems with the property
��aa �s your site require a stormwater detention pond? If so , the following applies _ _ ��---�
1-. -A dr� mage report summar+ 2ing ₹he detention pond ciesign with can�]�.ucfrar� drawings and maintenanee
plan �ha! ! I}e cc��iipleted by a Colorado Licensed Pro€�ssional � ngineer and adhere to the dralnage
related sections of tf�e Vti'etd Go�raC,y_ C�d�. � _ -- --
2. The drainage report must inel �rd ��a-��fi �ation af eam �liance stamped and signed by the PE which
can be faund on the e�te�ri�g website .
3. A general drain� �ort guidance checklist is a}railable on tha engineering - ule�sit �. _�iore comp4ete
checklists vailable upon request � -` -_ _
--�
�
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,� U5E BY SPECIAL REVIEW ( USR ) MAP REQIJIR � MENTS
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The size of map is required to be 24"x36" (2 'x3 ') .
Please add the items below to the USR map as thay apply to your site .
Vicinity Map Requirements:
1 . Area including a ane� halF mrle radius of the property prinked to a legible scale
,� Section , township , and r�nge
�' Scale and north arrow
4 Outline of fhe perimeter of the parcel
�1 7he general classifications and distribution af soils a� r the parcal under consideration (soif classification
names and agricultural capability classifications must be noted in the legend)
�"Locations and names af all roads , irrigation dltches , and water features
� Any abutting subdivi5ion outlines and names , and the b�undaries of any adjacent mun�eipaiity
Plot Pl � r� Ft2quirentents (�no sur�ey required , n � eds to be drawr� t�a s�cale ) : � � •lQ,�;� ', �w
� �"J '� � � c.' �'f' } t' :�- ? Gt f� �Jz �� �! � � � �. c,rc
1 . O �e inch equals one F��rr�dred feet seale { 1 " - 1p �'] or othE�r 5Ga1e � 5 �p�ropriate
2 . Oukline �a� the boukadaiies of the parcel {s )
3 . Adjacent property lines
4 . Public righ�s -af-way andlor easements within 200 feet of parcel boundary for telephone , gas , electric , water,
sewer lines etc.
� . Show and label any existing and proposed structures (including aba� ground storage #anks }
6 . Show and label location of areas of moderate ar se�re sail limitations
7 . Show and label lacatioi� of �hicle and/or equipment washing area
8. Show and label location , amount , size and type af any existing and propnsed landscaping , fencing , walls ,
berms , or other screening
9. Show and label location , amount , size and type of any existing and proposed parking areas
10. Show and label the sign an the USR drawing include the height , faee size , and setback
11 . Show and label the locatian af all existing and proposed lighting , include details af the type of lighting
12 . Show and label location of all hydrographic features including irrigation ditches , streams , riv�rs , ponds , and
reserwirs
13 . Shaw and label lacatian ofexisting road Right-of-Way , future raad Right-of-Way , and � asements
14 . Show and label the unmaintained section I �ne Right-of-Way as "CR _ Righf-of-U1lay is not County
maintained"
95 . Shaw and label location of drainage related features (e g . detention pond(s ), ditches , etc . ) DetenEion ponds
shall be labeled as " No Build/ Storage Area" and include design wfume
� 6 . Show and label the drainage flow arrows showing how the stormwater flows across the property
17 . Show and label the traffic: circulat� on flow arrows showing how the traffic moUes araund the property
18 . Show and label location ofthe access (es } and label with access perrr�it number
19 . Show and �abel the access turning radii . Show 25 feeE for passenger Wehicles and 60 feat for trucks .
20 . 5how and label the apprc�v�d tracking confrol
21 . Show and label the locatfon of any flvodplain boundaries . Include permit number, floodplain type , map panel
number, and effecti�e date .
22 . Show and laf�el the location of geological hazard
23 Show and label the location of mineral resource areas
24 . Add any other relevant information about the property as may be reasonably required by the County to meet
the intent and purpose of the Weld County Code , Chapter 23 (Zoning ).
25. Add the USR map Cer�ificate Signature Blocks (see following page}:
1 ) Property Owner{s ) , 2) Planning Commission , and 3) Board of County Commissioners
;��6.���`�
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�� USE BY SPECIAL REVIEW ( USR) QUE5TIONNAIR � ( PAGE 2)
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Environmental Health questians : 970 -304-6415 x2702
�� What is the drinking water source on the property ?
If utilizing a drinking water well include either the well permit or wel! permit application that was submitted to
the State-Di�ision of Water Resources . If utilizing a pubiic water tap include a letter fram the Water District, a
tap or meter number, or a copy of the water bill .
2 . What type of sewage disposal system is an the property ?
If utifizing an existing septie system pro�ide the septic permit number. If there is no septic permit due to the
age of the existing septic system , apply for a septic permit through the Department of Public Health and
Environment prior to submitting this application . If a new septic system will be installed please state " a new
septic system is proposed" . Only propose partable toileks if the use is consistent with the Department of � ublic
Health and Environment' s portable toilet policy .
�� If storage or warehousing is proposed , what type of items will be stored ?
�' Descri6e where and how storage andlar stockpile of wastes, chemieals , andlor }� etroleum will occur or� this
site .
,�' If there will be fuel starage on site indicate the gallans and the secondary containment . State the number of
tanks and gallons per tank .
_�8" If there will be washing of vehicles or equipment on site indicate how the wash water wila be eontained .
�' If there will be floar drains indicate how the fluids will be conta � ned
8 . Indicate if there will be any air emissions . (e. g . painting , oil storage , etc )
9 Provide a design and operations plan if applicable . (e. g , composting , landfltls , etc. )
10 . Pro�ide a nuisance management plan if applicable (e g - dairies, feedlots , etc )
'11 . Additional information may be requested depending on type of land use requested .
� u �lding questions : Jose Gonzal �� 9fi0-353-6100
�` List the type , size (square foatage�, and number of existing and proposed structures . Show and label all
existing and proposed structures on the USR drawing . Label the use of the building and the square foatage .
� Explain how the existing structures will be used for this USR?
�List the proposed use (s) af each structure.
An MBWord (. docx) version of this questionnaire is a�ailable by request .
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a4 - 17 - � a1 �
P � ANNING QUESTIONS :
1 . To park Turcks , Trailers and equipment for my
landscape business . I have razsed horses and goa � s
and other farm animals my entire life . Living here
gives me the opartunity to da b � th .
+ � � No changes , I baen residing here nearly 10 pears .
ti�
, 3� No changes , I been residing here nearly 1Q years .
� �f
' 4 , Hay cul � iva � ifln , horse boarding , being a landscaper
T am ab � e to heZp Ms Bunn ( landlord ) with the up keep
a. nd maintence of the property .
5 . Monday thru Friday 7am to 6pm Saturdays 8am to 5pm .
� . f o u r { 1} ) 'rM `r[�., t � /�i � � V1 � +4ti `� �y �� �
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7 . Nat Appiicable
$ : � �7� �'��
9 . Not Applicable
10 . Gravel road , surrounded with trees and wild grasses .
11 . Not Applicab � e
12 . Trees s � rround the propertp with wild grasses . I
wzll continue to maintazn the property for rent .
13 . No � Applicable
14 . Not Applicable
15 . None
1b . Greeley Fire Dept 7
17 . Nona
o4 - 1z - 2o17
ENGINEERING QUESTIONS : � �` � ��
l . Pickup Trucks and Tra � lers ( 4 } � � mes d � � ly . � � � �
.
Z ' Y '7�-� ���
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� . 50 � frvr� t, he A�-h � C} � from the � . ,� �� �+,� L�„��"
�� snr
4 . $ am to 9am and 5pm to 6pm . .� � � ,
5 . On the nor � h side of the pxoperty dawn the gravel road
at the green gate . � �'�
�
�a � Not Applicable
' � 1
.
2
3
�
5 �
04 - 17 - 2017
ENVIORM� NTAL HEA � TH QUESTIONS :
1 . � ottl � d Water
2 � �r��a � �n19 -�-�
�,,,_
3 . None
4 . Not App � icable
5 . None
6 . No washing of vehic1es ( hard water )
7 . Na bnildings
8 . None
9 . No � Applaeable
10 , Nat Applicable
11 .
BUTLDING QUESTI � NS :
Not Proposed
04 - 17 - 2017
PLOT PLANNING REQUIREMEN � S :
Nat Proposed
Community Neighborhood Meeting Infarmation
In such cases where a violation has already been initiated, the applicant shall schedule and
provide notice to all property owners within a mfnirnurn of 5Q� feet of a neighborhood meeting.
This neighborhoad meeting shall be an opportunity far the applicant to explain (in detail} the
proposed use . If concerxis arise frorn the surrounding groperty owners, an atternpt by the
applicant shal� be made to address such cancerns .
The applicant wi11 need to create a sign in sheet fo� the day of the meeting as well as have
someone ta take a "summary" of the meeting, which documents what is proposed to the
surrounding praperty owners, any cancerns and any possible attempts to address those cancerns .
Submittal informatian with the proposed application:
- Copy af Letter sent to surrounding property owners
- Copy of Surrunary of the rr�eeting
- Copy of Sign-in �heet
:
e
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��
f -
E. c� uipment Neede [� : circle � nd � ndicate quantit}• if ttiore that t iti neectec3 .
T�'/VCR�• �� es_ Coffee ll � ker �• F� es� fieac3 Table
��es
Greetin � Table ��esT 1' oclium ��es_ F � ab �� es_
( �� There is a renta ! fce char� ed fa �� these itenis . )
.� dditionaI set up requests :
�,1E,1�:a r-�c� ,��_�, t�.. F-.
_ � �
�• �• Refund � : see �iles and I� �:� � ; t ' r - age «�ithin rental pac � et .
,
. �.
Signatur ': � ��c.� - �-" Date ; � • ��� ��
( O �'ER)
NOTICE QF NEIGHBORHODD MEE � ING ( OPTIONAL )
$ e � lo neighbors , mp name zs Ber � Garcia . I have resided
at S212 west Fst for nearly ten years .
I am required ta inform you of a neighborhood meet � ng .
This comes due to an older gentleman I found an the
property last summer . I had a problem with that it is
private property and ir is posted . He retailiated hy
filing a complaint with the C � ty af Greeley .
Therefore , because I have a small landscape b � siness
I mnst apply for a ane time permit . I don ' t conduct
any business on the property . I don ' t sell mater � als
and I dontt have signage displaping the business .
I use the propertq soley to park my trucks , trailers
and equ � gmen � . Occasionally I might bring a customers tree
home and cut it up � or firewoad . Some � imes I bring
grass c � ippings and b � � � � leaves for my goats .
If you have any qu � stions or cpncerns you are
welcome to attend , I wi21 note all your concerns
and fareward to the right dept .
Thank you for your time .
cordially ,
Bert Garcia
MEETING pLACE : FAMI � Y FUN PLEX
TIME : 2 : OOpm
DATE . 4 - 5 - 2d17
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WEL� COUNTY COlORADO LANQ RECORDS 3l1012017
AFFIDAVIT OF INTERESTED LAN � QWNERS 9:53 : 53 AM
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 af the property (the surFace estate) within 5DD feet of
the property being cansidered . This list was compiled utilizing the records of the Weld County
Assessar available on the Weld County Internet Mapping site , Mttp :llwww , eo.weld. co.us, and has not
been madified from the original. The fist campiled for the records of the Weld Caunty Assessor was
assembled within thirty days of the applications submission date .
� ,�
, � ..
� � -��
.
.
--,c--� .
� ' � .�� 5ignature
Date
Pro�erty Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
R1371188 080534DD0026 NELSON KOR7NEY L
R1371186 0$0534000026 NELSON JOSEPH D 5206 W F ST
� •
GREELEY, CO 806319441
R1372386 0805340000�8 LEONARD JEANNIE L
R1372386 080534000468 KREYKES K DOUGLA5 33571 CQUfVTY ROAD 25
GREE�.EY , CO 80fi399361
R6776104 0$0�34300007 LOWELL THIZEE LLC (518 INT )
Rfi776104 080534304007 LOWELL FQUR LLC ( 116 INT) C1O BUNN MARILYN
4D7 RtJ5SE�L AVE APT 608 �
GAITHERS� URG , Mb 208772$56
R8943915 080534300013 GREELEY CITY OF 1100 10TH ST STE 401
GREELEY, CO 806313863
R8944878 080534400008 LOWELL FOUR (1 !6 INT)
R�9�W878 080534400008 LOWELL THREE LLC (516 INT) C1O MARILYN BUNN
407 RUSSELL AVE APT 608
WELD COUNTY CaLORADO LAND RECORDS 3J10/2Q17
AFFIDAVIT OF INTERESTED LAND OWNERS 9:�3 : 53 AM
SURFACE ESTATE
THE UNDERSIGNED , States that ta the best of his or her knowledge the attached lis# is a krue and
accurate list of the namas , addresses , and the corresponding Parcel Identification Numher assigned
by the Weld County Assessor of #he owners of the property (the surFace estate) within 500 feet of
the property being considered . This list was compiled utilizing the records of the Weid County
Assessor available on the Weld Caunty Internet Mapping site , http:llwww.co.weld. ca. us, and has not
been modified from tf�e original . The list compiled tor the records of the Weld County Assessor was
assembled within thirty days of the applications submi5sian date . „
Y �
4 �
�` ��,�/ � Signature
Dake
Property Owners Within 500 ft of Parcel # 080534400009
Accaunt Parcel Owner Mailing Address
GREELEY, CD 806342937
R8485900 095903222006 WILTROUTAGNES M
R8485900 096903222006 WILTROUT DAVID L 228 N 51ST AVE
� �
GREELEY, CO 806344267
R848B4Q� D95903222007 KELLY FARM OWNERS ASSOCIATION PO BOX 9 �
GREELEY, CQ 806320009
R8486500 0959032234�5 MOORE JENNIFER L
R8486500 095903223 ��5 MOORE KENT R 102 52ND AVE �"
GREELEY, CO 806344211
W� LD COUNTY COLORADO LAND RECDRdS 3!1 Q12017
AFFIDAVIT OF I �ITERESTED LAND OWNER5 9: 53 :53 AM
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 namas, addresses, and the corresponding Parcel Identification Number assigned
by the Weld County Assessor of the owners o# 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 a�ailable on the Weld County Internet Mapping site, http :!lwww. 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 vf the applications submission date .
F� � ��
-�.��� ,��-}-�-��
� F� �_l � Signature
D ate
Property Owners Within 50� ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
R1076996 095903117013 GREENBERG ANDREW CHARLES 4959 W C ST
�
GREELEY , CO 806344392
R1077096 095903117014 ROHNKE R �ANNA M
R1077096 Q95903117014 ROHNKE BERNARb D 4955 W C ST
�/
GREELEY , CO 806344392
R0164195 095903117015 KENDALL LYNNETTE �4951 W C ST
V
GREELEY , CO 80fi344392
R0164295 095903117016 BENTON JOSEPH J
4947 W C ST �
GREELEY, CD 8�6344392
RQ184385 095903117017 TAYLOR JEFF F 4943 W C ST
�
GREEL�Y, CD 8fl8344392
R0184495 095903117018 NIERI STEPHENIE LAVON
�
R0164495 095903117018 CORRAL JOSHUA LEE
4941 W C ST t/
GREELEY, CO 806344392
R016459� 095903117D99 EHTREG REVOCABLE TRUST PO BDX 1631
WELD COUNTY COLORAQO lAND REGORQS 311 0120 1 7
AFFIDAVIT OF INTERESTED LAND OWNERS 9 ; 53 :53 AM
5URFACE E5TATE
THE UNQERSIGNE � , States that to the best of his or her knowledge the aktached list is a true and
accurate list of the names, addresses, and the corresponding Parcel Identifieation Number assigned
by the Weld County Assessor of the owners o# the praperty (the surtace estate ) within 500 feet of
the praperty being considered . This list was compiled utilizing tha reeords of the Weld County
Assessor a�ailable on the Weld County Internet Mapping site, http:llwww.co .weld . co. us, and has nat
been modified from the ariginal. The list compiled for the records of khe Weld County Assessor was
asserr�bled within thirty days of the applicatians submission date .
' '� �, ���'
T
�����
,
Signature
� �a-d' �/�
D ate
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Ma�ling Address
GREELEY , CO 806344724
R1191097 09590311 $ 025 GREELEY CITY OF 1000 10TH STREET �
GF2EELEY , CO 80fi313808
R1076096 095903117004 GOODWINE JODY A
�
R1076096 095903117444 GOODWINE aANNY G 217 N 50TH AVE �
GR�ELEY, CO 806344710
R1078196 095903117Q05 BOWLES MA7THEW C
� 221 N 50TH AVE • �'
GREELEY , CO SQfi344710
R1076296 095903117006 SANTERAMO SHERI L 225 N 50TH AVE
�
GREELEY, CO 806344710
R1076396 095903117007 OSAKI-HANSEN CONNIE L 301 N 607H AVE
V
GREELEY, CO S0fi344712
R1076496 095903117008 ROGGE MURIEL M
R107B496 095903117q08 ROGGE LLOYD D 303 N 50TH AVE � /
V
GREELEY, CO SQ6344712
R1Q78596 095903117aQ9 BORCHARaT INGMAN50N JOAN P
WELD COUNTY COLORADD LANa RECORDS 311 0120 1 7
AFFIDAVIT OF INTERESTED LAND OWNERS 9 : 53 : 53 AM
SlJRFACE ESTATE
THE UNDERSIGNED , States that to the best of his or her knowledge the attached list 'rs a true and
aecurake list of the names , addresses , and the corresponding Parcel Identification Number assigned
by the Weld County Assessor of the awners of the property (the s�rface estate) within 50Q feet of
the property being considered . This list was compiled utilizing khe records of the Weld County
Assessor available an the Weld County Internet Mapping site , hltp :/lwww.co.weld.co. us , and has not
been modifisd from the original . The lisf compiled for the recards of the Weld County Assessar was
assembled within thirty days of the applications submission date.
,- ,
,
�
.,
�.�. _" ��� � f
Signafure
�- � �-�r�
Date
Property Owners Within 50� ft of Parcel # 080534400409
Account Parcel Owner Mailing Address
R1076596 Q959D3117009 INGMANSON 5COT7 T 307 N S0TH AVE - -
GRE �L.EY, GO 808344712
R1076696 0959�3117010 LERMA DAROLIE D
R9076696 095903117010 LERMA SAUL C 311 N 50TH AVE
GREELEY, CO 806344712
R'1076796 095903117D11 ANGUS JOANN L
�
R107679$ 095903117011 ANGUS JEFFERY A
4987 W C ST
GREELEY, CO 806344392
R1Q76896 0959031170 � 2 MAYEDA RYAN
R1D76896 0959031 � 7012 MAYEDA KIMs� f2l.Y 4963 W C ST
GREEL�Y, CO 80f344392
R1Q76996 095903117013 GR� ENBERG ERIKA RElVEE
,
WELD COUNTY COLORARD LAND RECORQS 3l1012Q17
AFFIDAVIT OF INTERESTED LANa OWfVERS 9:53 : 53 AM
SURFACE E5TATE
THE UNDERSIGNE [], States that to the best of his ar her knowledge the attached lisk is a krue and
accurate list of the names, addresses , and the corresponding Parcel Identification Number assigned
by the Weld County A5sessor of the owner5 of the property �the surtace estate) within 500 feet of
the property being considered. This list was compiled utilizing the records of the Weld Gounty
Assessor available on the Weld County Internet Mapping site, http:llwww.co.weld.co.us, and has not
been modified from the original . The list compiled for the records of khe Weld County Asse5sor was
assembled within thirty days of the applieations submission date .
,
_-- �-.
� � ��
f
Signature
��� � 7
Dake
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
GREELEY , CO 806344725
R1189497 095903116010 TURNER KAREN F
e
R1189487 095903116010 TURNER MICHAEL D 345 N 50TH AVENUE PL �
L�
GREELEY, CO 808344726
R'1189597 095903116Q11 ROSSi LISA R
,
R1189597 0959fl311601 'I ROSSI MICHAEL SGOTT
R1189597 0959D3116Q11 NEWHALL ELIZABETH
335 N 50TH AVENUE PL �/
GREELEY, CO 806344726
R1189697 D95903116012 OQEY CAROLY�1
Ri 189697 D95903116012 �QEY JOHN J 325 N 50TH AVENUE PL r `
V
GREELEY, CO 806344726
R1189797 095903116013 PRIETO CATALINA
,
WELD COIJNTY COLORAQO LAND RECORDS 3l10l2017
AFFIDAVIT OF INTERESTED LAND OWNERS 9 : 53:53 AM
SURFACE ESTATE
THE UfVDERSIGNED, States that to #he best of �rs or her knowledge the aktached 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 u#ilizing the records of the Weld County
Assessor available on the Weld County Internet Mapping site, http:llwww.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 . r �
�` '5
_ � � �� ,
��! -zc�' �s-'* �,.. -
� _ .
Signature
�
Date
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
228 N 49TH AVENUE CT
GREELEY, CO 806344390
R0Q8B693 095903120Q27 WIGHTMAN BRET AAILTON
239 N 49TH AVE �
GREEL�Y, CO 8p6344373
RaQ68793 095903920Q28 VOG �L CARRIE A
.
RaQ88793 095903120a2$ VOGEL NATHAN 245 N 49TH AVE
�
GREELEY, CO 806344373
R0068893 095903120a29 CASTILLO DARCIE
,
R0068893 09590312aQ29 CASTILLQ MIGUEL 2213 6&TH AVE
GREELEY, CO 806347929 V
R0068993 0959fl3120Q30 MORALES MARY C 311 N 49TH AVE
�
GREELEY, CO 8Q6344387
R0069093 095903120031 GRIGGS VELDA J
,
R0069093 095903120031 GRIGGS LOYD R 319 N 49TH AVE �
GREELEY, CO 806344387
WELD COUNTY COL�RAQO LANR RECORDS 311 012 0 1 7
AFFIDAVIT OF INTERESTED LAND OWNER5 9 : 53:53 AM
SURFACE ESTATE
THE UNDERSIGNED, States that to the best of his or her knowledge khe 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 surtace estate) within 5D0 feet of
the property being cansidered. This Irst was compiled utilizing the records of the Weld Caunty
Assessor available on the Weld County Internet Mapping site, http:Jlwww.co .weld.co. us , and has not
been modified frarn the original . The list compiled for the records of the Weld County Assessor was
assembled within thirty days of the applications submission date . 3
,
ti �-
;
�
Signature
_��"�
Date
Property Owners Within 5DD ft of Parcel # 08Q53440Q0Q9
Account Parcel Owner Mailing Address
RaD69393 D95903121003 HEENZER MICHELE S
R0069393 Q959a3121003 HEINZER RIGKY F 320 N 49TH AVE
�
GREELEY, CO 806344372
R0069493 0959031210�4 NINO RHONDA F
,
� R0069493 095903121004 NINO JESSE A 312 N 49TH AVE
GREELEY, CO 806344372 �
R8484400 095903221001 EXNER WILLIAM
,
R84844Q0 095903221 � 01 GANN - EXNER LESLIE 5101 W B ST
1./
GREELEY, CO 806344268
R8484500 0959fl3221 QD2 JOBE MARION S 51 a3 W B ST
�
GREELEY , CO 806344268
R8485400 095903222001 PUCKETT PATRICIA A
�8A8�4f}�j Q95903222001 PUCKETT CHARLES F 572� W 20TH ST # 11
WEL� COUNTY COL�RADO LAND RECORDS 3110l2017
AFFIDAVIT OF INTERESTED LAND OWNERS 9 : 53:53 AM
SURFACE ESTATE
THE LINDER5IGNED , Stakes that to the best of his or her knowledge the attached list is a true and
accurake Itst of the names, addresses , and the corresponding Parcel Identification Number assigned
by the Weld County Assessor of the owners of the property (the surFace estste ) within 5Q0 feet of
the property being considered . This list was campiled utilizing the records of the Weld County
Assessar available on the Weld County Internet Mapping site, http:llwww.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 submissian date .
� �x ��
, � : �_�
� ��//� Signafure
Date
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
LQVELAND , C� 805391 B31
R0164695 Q95903117020 HEUPEL TYLER J � /
4923 W C ST L/
GREELEY, CO 806344392
R0164795 D95903117021 GAIN DOUGLAS L
R0164795 Q95903117021 GAIN ADELA 4917 W C ST
�
GREELEY, CO 806344392
R0067093 a95903117022 LaNHART DONALD � UGENE 4909 W C ST
�
GREELEY , CO 806344392
R0067193 0959D3117023 JAMES AMY G
,
R0067193 095903117023 JAMES DANI � L M 4901 W C 5T , /
�/
GREELEY, CO 806344392
R0067293 095903117024 SHOWERS EDEN 4855 WEST C ST
v
GREELEY, CQ 8Q6344 $ 39
R0Q67393 095903117025 BORN ROBERT E 4849 W C ST
GREELEY, CQ S06344339 "
R1Q77196 095903118001 HYATT CHRISTINA MARIE
WELD COUNTY COLORADO LAND RECORRS 311 0120 1 7
AFFIDAVfT OF IN7EF2ESTEQ LANQ OWNERS 9 : 53 :63 AM
5URFACE E57ATE
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 Nurr�ber assigned
by the Weld County Assessor of the owners of the properly (the surface estate ) within 500 feet af
the property being considered. This list was compiled utilizing the records of the Weld County
Assessor a�ailable on the Weld County Internet Mapping site, http:llwww. co .weld . co . us, and has not
been modified from the original , The list compfled for the records af khe Weld County Assessor was
assembled within thirty days of the applications submfssion date . _
,
` � � �f
�
� Signafure
�- a-� -�
Date
Proparty Owners Within 5QQ ft of Parcel # a805344�0009
Aecount Parcel Owner Mailing Address
GAITHERSBIJRG , MD 208772856 �._
R8944879 080534400009 LOWELL FOUR ( 1l8 INT)
R8944879 080534400009 LOWELL THREE LLC (51B INT ) C/O MARILYN BUNN '
407 RLJSSELL AVE APT 608 �
GAITHERSBURG , MD 208772856
R6934197 0$0634400079 MONGAN JENNIFER C
e
R6934197 080534400Q79 MONGAN JEREMIAH J 4872 W F ST
�
GREEL �Y, CD S06319441
R11 $8697 0959031160Q2 BAUSTERT GREG 38844 COUIVTY ROAD 31
EATON , CO 806158422
R1188797 095903116003 THOMAS SHARI G
,
R1188797 095903116003 TH �MAS RANDALL W 224 N 50TH AVENUE PL
GREELEY , CO 806344723
R1188$97 0959D3116004 SEGELKE 7EF2ESA D
�
INELD CDUNTY CaLORADO LANQ RECORDS 3110l2017
AFFIDAVI7 OF INTERESTED LAND OWNERS 9 : 53:53 AM
SIJRFACE ESTATE
THE UNpERSIGNEQ , States that ta the best af his or her knowledge the attached list is a true and
accurate list of the names, addresses , and the corresponding Rarcel Identification Number assigned
by the Weld County Assessor af the awners of the praperty (the surtace estate ) within 500 feet of
the property being considered . This list was compiled utilizing the records of the Weld County
Assessor a�ailable on the We�d County Internet Mapping site, http:llwww, 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 submissian date , �-� f
�
�� • ��
, . A �/
. ��f
.
�`��� ��� Signature
Date
Property Owners Within 500 ft of Parcel # 080534400009
Aecount Parcel Owner Mailing Address
R1188897 0959Q3116004 SEGELKE RUS5ELL W 230 N 50TH AV�NUE PL
GREELEY, CO 806344723
R1188997 095903116005 BLISS LAURIE 2748 SUSAN DR
LQVELAND , C� 805378804 �
R1189097 095903116006 STARKEY JAMES DEREK
,
R1189497 0959D3116006 STARKEY SUSAN KARENE 312 N 50TH AVENUE PL
GREELEY , CO 806344725
R1189197 095803116007 PFAHNL CHUN L
R1189197 �95903116007 PFAHNL ARI�fOLD E 6121 ESTUARY CT , /
V
FORT COLLINS , CO 805287215
R1189297 095903116008 STAQE SDNJA R
R1189297 095903116008 STADE STEVEN C 332 N 5aTH AVENUE PL '
�
GREELEY , CQ 806344725 ,� `
R1189397 0959�31160Q9 PETERS GARRETT J 342 N 50TH AVENUE PL
WELD COUNTY COL�RADO LAND RECORDS 3/1012017
AFFIQAVIT OF INTERESTED �ANQ �WNERS 9 : 53:63 AM
5URFACE E5TATE
TME UNDERSIGNED, 5tates 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 Cvunty Assessor of the owners of the property (the surface estate } within 500 feet of
the properry being considered. This list was compiled utilizing the records of the Weld County
Assessor a�ailable on the Weld Counry Internet Mapping site, http:/lwww. co .weld .co . us , and has not
been modified from the original . The list compiled for the recards of khe Weld County Assessor was
assembled within thirty days of the applications submission date . � ,
) _ ;
� �" . � ,
�`�__��� ��" _.
� �� _ _, Signature
����
� ate
Property Owners Within 500 ft of Parcel # 080534400009
Accaunt Parcel Owner Mailing Address
R1189797 095903116013 PRIETO OSCAR A 315 N 50TH AVENUE PL
�
GREELEY , CO 84fi344726
R'1189897 09b903116014 HOLM DELORES M
R1189897 095903118014 HQLM KENNETFi C 305 N S0TH AVENUE PL
��
GREELEY , CO 806344726
R1189997 095903998015 DITTER NICHOLA5 A
0
R1189997 095903118015 DITTER DIANE K 235 N 5aTH AVENUE PL
U
GfZEELEY , CO 806344724
R1190097 095903116a1fi LAPORTA BECKY S
�
R1190097 095903116016 LAPORTA JOSEPH R 225 N 50TH AVENUE PL �
GREELEY , CO 806344724
R1190197 095903116017 , DOWDY CHERYL
R1190197 095903116017 DOWDY FREDERiCK 215 N 50TH AVENUE PL
WELD COUNTY COLORADO LAND RECORDS 3/10/2017
AFFIaAVIT OF INTERESTED LAND OWNERS 9:53 : 53 AM
SURFACE ESTATE
TH� UN � ER5IGNED , 5tates that to the best of his or her knowledge the attached list is a true and
aceurate list of the names , addresses, and the correspanding Parcel Identification Number assigned
by the Weld County Assessor of the owners of the property (the surface estate) within 500 feek of
the �raperty being considered . This list was compiled utilizing the records of the Weld Co�nty
Assessor available on the Weld County Internet Mapping site , http : /lwww. eo.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 #hirty days of the applications submission date , � f
�
,
��v-��_�'�
� � � �� Signature
Date
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner Mailing Address
R1D77196 095903118001 5OMER BRADLEY SCOTT
320 E� 5QTH AVE �
GREELEY , CO 806344711
R1077296 095903118a02 BAKER KYLENE 310 N 5aTH AVE
�
GREELEY, CD 8063�44711
R107739fi 095903118003 BENSON BRIANNA M
R1077396 0959D31 'f8003 BEN5ON STEVEN A 304 N 50TH AVE
v
GREELEY , CO 806344711
R1077496 095903118004 CARO JUDITH ARMIDA CORONA
R1Q77496 0959031180a4 CERA FA61AN EDMUfVQO MDNTE5
300 N 50TH AVE �
GREELEY , CO 806344711
R1077596 095903118Q05 ADAMIC MEGAN
R1077596 09590311 $005 WHID � ON CHRISTOPHER �
228 N 50TH AVE
GREELEY , CO 8fl6344709
R1077696 0959031180b6 TREFETHEN SHERYL D
WELD COUNTY COLORADD LANd RECORDS 3/1012017
AFFIDAViT OF INTERESTED LAND OWNERS 9:53 : 53 AM
5URFACE ESTATE
THE UNQERSIGNED , 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 awners of the property (the surFace estate) within 500 feet of
the property being considered . This list was campiled utilizing the records af the Weld Caunty
Assessor available on the Weld County Internet Mapping site , http : llwww. co .weld . co. us, and has not
been modified frorn the originai. The list compiled for the records of the Weld County Assessor was
assembled within fhirty days of the applications submission date . �
�
n �
- ,�,���
� � � �'� Signature
oate
Property Owners Within 500 ft af Parcel # 080534400009
Account Parcel Qwner Mailing Address ,
R0165695 095903118019 LAPCEWICH JAMES K 313 N 49TH AVENUE PL
GREELEY , CO 80fi344702
R0165795 095903 � 190b1 REYEZ JUAN MANUEL
4944WCST `
GREELEY , CO 806344392
R0165$95 0959031190Q2 OSAKI MARY J
R6165895 495903119Q02 OSAKI WILLIAM K 316 N 49TH AVENUE PL
GREELEY , CO 806344701
R0165995 095903119003 LARSON HELEN
, .
R0165995 095903119003 LARSON WILLIAM D 308 N 49TH AVENUE PL
GREELEY, CO B0fi344701
R0166095 095903119404 ROHN TERESA R 302 N 49TH AVENUE PL
GR� ELEY, CO 80fi344701
IR0166295 095903119005 WITTNAM KAREN S 1357 43E2D AVE UNIT 28
GREELEY, CO 806342442
�t�1 �6395 Q95903119Q46 MONTOYA KELLEY
WELD COUNTY COLORADO LANfl RECOR �S 3110l2017
AFFIDAVIT OF INTERESTED LAND OWNERS 9:53 : 53 AM
SURFACEE $TATE
THE UNDERSIGI�fED , States that to the best of his or her knowledge the attached list is a true and
accurate list of the names , addresses, and khe corresponding Parcel Identificatian Number assigned
by the Weid County Assessor of the owners of the property (the surface estate) within 500 feet of
the proper[y being considered . This list was compiled utilizing the records of the Weld County
Assessor a�ailable on the Weld County Internet Mapping site , http :/lwww .co.weld. co. us, and has not
been modified from the original . The list campiled for the recards of the Weld County Assessor was
assembled within thirty days of the applications submission date . ,
�
,- , � . �
� T � � r� ,7 Signature
/
Date
Property Owners Within 500 ft of Parcel # 0805344Q00Q9
Account Parcel Owner Mailing Address
v
R1077B96 09590311 $006 TREFETHEN INILLIAM F 222 N 50TH AVE �
GREELEY, CO 806344709
RQ165295 09590311S015 WHIN � RY BARBARA L 235 N 49TH AVENUE PL
��
GREELEY, CQ 8a8344700
R0165395 095903118016 ASSURED LIFE ASSOCIATION 6030 GREENW�OD PLAZA BLVD STE 100
�
GREENWOOD VILLAGE, CO 801114825
R0165495 095903118017 SWIFT HAZEL L
,
R0165495 095903118017 SWIFT CARL M 305 N 49TH AVENUE PL
�/
GREELEY, CO 8�63447fl2
R0165595 095903118018 HERNANDEZ FRANCISCO J
,
R0165595 09b903118018 HERNANDEZ LEE ANN 309 N 49TFi AVENUE PL
GREELEY, CO $0B344702 �
R0165695 095903118019 LAPCEWICH SUSAN A
WELD COUNTY COLORA�O LAND RECORDS 3J9012017
AFFIDAVIT OF INTERESTED LAN� OWNERS 9:53 :53 AM
SURFACE ESTATE
THE UNDERSIGNED , States khat ta the best of his or her knawledge the attached list is e true and
aecurate list of the names, addresses, and the corresponding Parcel Identification Number assigned
by the Weld Caunty Assessor of the owners of the property (the surface estate) within 500 feet of
tha property being considered . This list was campiled utilizing the records of the Weld County
Assessor available on the Weld County Internat Mapping site , http :/lwww.co.weld. eo. us, and has not
been modified from the original. The list compiled for the records of 4he Weld Caunty Assessor was
assembled within thirty days of the applications submission date , ,r'
.
(/ l �
` Y Y� d v
L �
t
Signature
� a � 7�
Date
Property Owners Within 500 ft of Parcel # 080534400009
Account Parcel Owner � Mailing Address
R0166395 095903119006 MONTOYA CHASE 23fi N 49TH AVENUE PL ��
GREELEY, CO 806344395
R0167395 0959031 'l9016 OROZCO BRENDA KAY
R0167395 095903119016 �ROZCO CARLQS 223 N 49TH AVENUE CT '
�
GREELEY, CQ 80634439$
R01B7495 0959Q3119017
R01fi7595 095903119018 DYKEMA WENDY L
R0167595 095903119D18 DYKEMA ROBERT A 303 N 49Tii AVENUE CT
U
GREELEY, CO 806344399
R0167695 085903119019 JOHNSON MARLENE E LIVING TRUST 307 N 49TH AVENUE CT
V
GREELEY, Ga 806344399 '�
R0167795 095903119Q20 HUFF FLOYD R 313 N 49TH AVENUE CT
�/
GREELEY , CO 806344399
R0167895 Q95903119Q21 WOOLDRIDGE VALERIE R
WELD COUNTY COLORADO LANa RECORDS 3/ 1012017
AFFIDAVIT �F INTERESTED LAND OWNERS 9 : 53:53 AM
SURFACE ESTATE
THE UNDERSIGNED , States tf�at to the best of his or her knawledge 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 e5tate) 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 lnternet Mapping site , http :llwww.co.weld. co. us, and has not
been modified from the original. The list compiled far the recards of the Weid County Assessor was
assembled within thi�ty days of the applications submi5sion date . �
,
. � �` �
��f a A
5ignature
� � �� � �
4
Date
Property Owners Within 5D0 ft af Parcel # 08053440Q009
Account Parcel Owner Mailing Address
R0167895 0959a3119021 WOOLDRIDGE ST�VEN W 315 N 49TH AVENUE CT
V
GREELEY , CO 806344399
R0167995 095903120001 ROESLER PATRICK
R0 'i67995 095903120001 BURNETT JENNIFER 318 N 49TH AVENUE CT
�
GREELEY, CO 808344391
R0168095 095903120002 EHN CAROLYN
R0168095 085903120002 EHN ROBERT
7644 E BULLARD AVE �
CLQVI5 , CA 9361992D3
R0168195 095903120Q03 HENKEL LANETTE N �
310 iV 49TH AVENUE GT �
GRE.ELEY , CO 806344391
R0168395 095903120004 HERNAN � EZ-RQJAS SERGIO -'
306 N 49TH AVENUE CT �
GREELEY , CO $06344391
R0188895 095903120005 KEIL GAY LYNN LIVING TRUST 230 N 49TH AVENUE CT
V .
GREELEY, CO 808344390
F�(1168895 095903120006 RAMIREZ MICHELLE L (BN )
�,'�� � � ��� Weld County Pubiic Works �ept .
� - - ' ,� 1 �11 H street ACCESS PERMlT
.._ �,,� P . O . Box 758
G � �` � ^�c Greeley, CO 80632 APPLICATION FORM
�� ,� � �J �� Phone : ( 970 ) 304 - 6496
Fax : (970)304-b497
Anpl� cant Propertv Owner ( If different than Applicant)
• � '� f t ,/� �
Name ' C� `,�C (;� Name �r� G� lr r � f ��'1n
Company . � � ) L ' ' �� ' ' �� ) f �� t% Address � b � �� Ss=t��f a,uc fo � �'
E
Address � �+ I �. c.� � ST� �'"� City Q c �. e. � s � u� State I'hD Zip ,� a�T7
�
C�ty � ..�.l� � ll' ' State � Zip , � Phone � � f- � r8 - aIS `y
Bus9ness Phone � � ��� 6 - g� � � Fax
Fax E - mail
E- mail r'X.{ '� � } � Y� �� � c�l»�'f � � d�`N � � Existing Access 0= Proposed Access
Parcel Location & Sketch
The access is on WCR "� ' ���� �
Nearest Intersection : WCR � l $� S,� � s"` � wce �� � � g �
Distance fram intersection ���I nn + L�. � � ��� +
Parcel Number (� Ar� �_� �J -�-� �- e o `7 � I � ; 4�
Section/Township/ Range ,� i� �- �o � � � � �
Is there an existing access to the property . E5 Na �
� � �
Number of Existing Accesses t t�
�toad Surfate Typ�& C�nstr�, ction Information �
Asphalt � Gra �el �reated �_ Other . 1AfeR
Cul�ert Size & Type nf oN� �.
Materials used to construct Access � �" °�`�'�t--
Construction Start Date n!�_ Finish Date +`� �
Proposed Use
�Temporary (Tracking Pad Required ) / $ 75 � Single Residential/$75 � Industrial/$ 150
� Small Commercial or Oil & Gas/$75 � Large Commercial/$ 150 � Suiadi� ision/$ 154
� Field (Agriculture Only ) /Exempt
Is this access associated with a Planning Process? � No �5R � RE � PUD �Other
�equir�d l�tta [hed Dotumen45
- TrafFic �tr�ii� lan - Certif ' of Insurance - Access Pictures ( From the Left, Right, & inta the access )
By accepting this permit, the undersigned Applicant, under penalty of perjury, �erifies that they have received all pages of the permit
applicatian ; they have read and understand all of the permit requirements and provisions set forth on all pages; that they have the
authority to sign for and bind the Appli � ant, if the Applicant is a corporation or other entity; and that by virtue of their signature the
Applicant is I� � und by and agre� �� c�yl;,� with ali said permit requirements and provisions, all Weld County ordinances, and state laws
regarding ,#�ciii � •�s cans ctio � 1
.
� 5igna rre � Printed Name �/'fi �GtI�Cl �e, Date �'� � r17
Approval or enial will be issued in minimum of 5 days , Appro�ed by = _ _ ,
Revised Date 6/29/16
1 �,���s� ���s
��� ����� �
wond �rful �u�p�se
CYi�s came v�rt-����ec1 in nyaj�y �niqu� `��°�y�.
I c.aa� �oiieslly �a� the anes nQt exp�.�C#ecl c�r
a�ticipat�r3 �� the c��e.� tls�t mear� �1r�e niast
ta �is. 1'Ve exp��ier�c�c� ane st�cYi gHf'�, ��d i#
icrt�l4� l31ew �� away.
'1�ie �'ua� b� �n otu st����} w� rc:t�i`�'�e€l � n
i�n�LMa�.g�,��e t�s three su�-p��s�s. 'f`}�� Sirst
�ir�rise �.u�.stlb+� amoui�twe �`e<,'eiv�l �nc� Ehat.
�v�.� w+�t�cle�-�iil fo� �he y��'t� , `�Iz� ��c�nc3 rvas
ric�t sn rvo���erl�t�i, Tl�e iitclividu�] who i�n�•�
n�a]lyF c��x� �ur sttc�w r�moval w-� ty.r�t e3c�iit�;
it ��r�rnare, �cc��d`s��� tv a�u ncat�;h�x,�, �u�e�
vv�e al-� �tot ug tc� dcaing aG �stiirse�ve� ur ari��the�r
#� nuly �t�cr�alaers, ���e� f4tr�ti� it �Z�ec.�ss�t`1' t� f�nd
s�+m�c►a�e ta d� �t fc�r brat�i faniilie.�,
Urir tl�ii•d �tia-}}rise was �ve fcaui�d 4t great
+ istdi�i�l�.i�l whc� wc�rk�c3 �ot.h ho��s� ia���a h�s
, s�i�edule. I�� i� the c�«�►ier uf` �' �'o��tvrn a.a�e1
� Land.sc��pin�. 'I7ie �ui�aris� �va.s th� C�uist-
• ' mas �i�t h� �;�.y'E' t0lSllT SIL��iYI�. ��` C�lC�ilrt
C�1�I'��' k�l�'ill �0&' t�l� St',TViCI'S. �� S�11C� F� 44'EL5
l�is av�.ti' {af �,�i�°�r►g. 'Ne call rt �ayin� yti �a�avar� .
'4'��� 4��i�� r��vc�• ��� �l�l� l�r i;�ll enuu�h ��en�73e
��c�r t1x��k h�m e�� e��i�h f+� r t��e v�r�ndei-�u� gi{�
lie ��tti�c� t.� r,o-mp1�;tcr a�tr�s�t�� �ar C�uisfaYtas.
�Tc ��ill a1w�y� 13e i�i u��ia l��arts.
� • Nnrresr Dsansr, C�t�ele�J
Pry Law� & L.�n�scap�i��
�ffer� �e�c�lle.nt seruic�
I r�c+entl,v ]a aEl ;s�nlc ��cark dvnc i.Lx mY Y�'d �Y
I'�n La��n �: L,an�3sc;a�iz��, ��Yec1 by �# C'�ar-
cit�. �f��e�y t�ic3 a �,v�i�ds�rli�l jol7,
`i'lte�� 4�+�s �l �s�istutc��.���l��r td�� t�rx�rnin� �.
sm�l ��� c�f t3�i� E���r}�:�t, 13c►t �tt1 I3is rrew �tnie
l��c to �ix tJ��c �jrQi�14zt7 �� ��n e,r,�i�� c�a�r�;e. 'I'��y
�f�er r�. ltl 3xs•c�iat. d�.s�u►�t c�n 1�13c�r �r sc���c>r _
c�.�E�r.e��, wl�c]� � tx�twcl� 4ya�Y�e�ic�c3.
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.
.
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S��w �hovety�g ��pret��te�d
I�vFy n ��� is i�onz�at l;atppe. l �xnl c�isab�ec! �xld
�c�,r�'t slzouel niv tivalk €�at� clrarre+�va�: �V17�1e xL
�ae S�nira�• C'en�er I faunc� �. kws#�d ac3 fc��• f'r�e
sn+�w� �l�c��eliti�.
�-iis r�:�t�a� � l3 �tirt C'�a�-�;is�, ft'orai Yru T.a��+n�
��c� La��dscs��i�xy. i ie elc�e� ��1 ��ct�ll�»� jala,
R�zc� tbe c:ornes to c�n tlie �c�l� rig3�t aa.wn��. I-�e
�0�.4 t�tis �`re�e ser�rica� catzly tvr �iisalaleel � eal�3e .
I-ie �ls� (�ftt��°� ci to I�el� c��j yat'cl tvor°k Ecrr kl3e
��rtt�n� }'��r.
L�on+�x I�u�sr�� Gr�e�2�y
a
.
5
f�a�d�caper ca�ne �v v�r ��d
I 1vo�t�tl lr�;r. t{, lfit (�r��1eti �lcatiti' �l�n�lt �l ���r�l�-
cic�rfitl ►jro�;�t >>t'�•c iti tativn t�at is mo►�� lit��n
�ui3ling l� �iel � ���plc� i�� ne�d. E�.s Y»fi�' is
�e�t Ga�'ci�. I Ie t,� €h� ownei� o�' Pt'ts �avtin� &
T�.�azx�' s�a in .
I��iY Is���� �c� is r�c�v� rin� #��t�n1 � Strc�k�r s�o
� I Caltc�� B�rk> lie cfln�.e c�ver ll� � s�un� n�cr-
noc�n �u� r� cicst�neci up �tti1• �i�.cc�.�°ttir�l, �1Vlaat �
�ry ! �t r �en4�srciy:s ,yoEtir fajtta yn pe��le.
Tl�a�tik yotii, �3 e rl',
,���at°�• ,1r�r. Iwni�it�.r•.Bu S7axuU� C'��°e�r
�
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,
,
Gr�t �eip �ram �ar�ds�a�e�
VYe v�raulcj tikt� to ser►� � h��ge t�l�kya�.3 �at
tv F��� I:�vv�r Sr Ia�ci�capS�z�, LL� -- Ber't
G��re9a.
'.fl"1t� �c� rviee of shovelis�;� �t��• �v�3ks �vit13
ntxly � tirt���lc you ii� t�etr}rn sltiows tltee� �.t•�
�till �en�lc tiv�l,�i t:�ke will tU 1�e1�� ast�iei•s. '4�I�
�x`e an cld �r�� cou7ale �nd terae►�lu tu dc� 4he
s]ac��+elin� c�n oe�a• cs4vn. T1xe w�nrld r�e�ds ���vre
p�op I� � IZGE �'�1C1. .
77-iaiii�.S ��un ;
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y. b� u � a � i —
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�4ssl��a�r�e r�ith fta��ding �R���a#�d
I arn � V�eld �'r,u ��k�� �°esi�le�t fo�� ^r � veaJ•s. I, lz�r.3 a
�f+i+a�iE�� �eobl��� � u�irc; Cliis �ve�k:s raan st.or�n�. i
�in�on��s�e�1 r�a,c�r «� tiv�rer� h1��. Bert of �i-� �wn
S�r��r_e hel�secl r3t�ici� senios^s. ,sa I r�llecl ��c3 t�?ld hi�a� ���
cl�tivns�c�tit �,��us r.l��etl artitl t�°�ter• �i=a.� fl�ti«��g �3e�vil�V
ower C��e g�: liet•.
I-ie se�� E .ca�� ►�usie ���r� tic�tF�it� t�1e ho�tr � }��o�erl}• fi.� il
anc� neveg- ch �r�eci it�e ��Ta��tht��-
I �ttt� ��'att�lirl inr tl� al �etci t�iaw��t o�hers sha��ld k�rc�u�
of`uhas a�apr� �cz�t�l �ce�..
, Ev� Y:��.v�s, �xr'ee�e,t�
r
(Agent/AppEi.cant)
located a₹ ,0. ('-,r c k i C -, C
10 •
•
y'" ','DE1-ARTMENT OF PLANNING SERVICES1555 N 17th AVE
GREELEY, CO 80631
PHONE: (970) 353-6100, Ext. 3540
FAX: (970) 304-6498
AUTHORIZATION FORM
represent (Mo1/4v-.1 ` t� U n "- for the property
(Ow Yr r)
? 3l
LEGAL DESCRIPTION: SEC ;`f TWN RNG 66,
SUBDIVISION NAME:
LOT BLK
I can be contacted at the following Home 6116--s-76
Work glti- 67d -2e3-1
Email: fro 1�n,4,lCe,
The property owner can be contacted at the following �}
Home 77 aim, 6 t g
Email:
11vorit flr'-.)(`)
;
Correspondence emailed to:
(Check one)
DATE 4;
IJ17'
OWNER'S SIGNATURE
Agent/Applicant
❑ Property Owner
triP
r•
r•
•
f 'l
E•
E cZ:TOZ
1.21
B
Hayley Balzano
From: Garcia Bert <bert.prollc@gmail.com>
Sent: Tuesday, June 20, 2017 9:47 PM
To: Hayley Balzano
Subject: Re: Drainage Narrative Needed
Answers to questions 2-5.
II. At a canal north of Coyote Run Park, and south of the property.
III. To Ditch #3. The county built a drainage ditch for that purpose.
IV. South to the Northeast.
V. Not Applicable.
Cordially,
Bert Garcia
On Jun 19, 2017 11:09 AM, "Hayley Balzano" <hbalzano(ii)co.weld.co.us> wrote:
Hello Bert, if you can answer questions 2-5 below, that will satisfy what Engineering needs for your USR
application. Thank you!
i. Which exception is being applied for and include supporting documentation
1.a.8 Development where the change of use does not increase the imperviousness of the site.
ii. Where the water originates if it flows onto the property from an offsite source
iii. Where it flows to as it leaves the property
iv. The direction of flow across the property
v. If there have been previous drainage problems with the property
Hayley Balzano
Engineer I
Planning Department
1555 N 17th Ave
Greeley, CO 8063 1
phone: (970) 400-3552
fax: (970) 304-649
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2
Hello