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Home My WebLink About20170475.tiffRESOLUTION RE: APPROVE TEMPORARY ASSEMBLY PERMIT - BERTA AND MARTIN GUTIERREZ WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Berta and Martin Gutierrez, 7717 County Road 31, Fort Lupton, CO 80621, has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 11:00 a.m. until 5:00 p.m., on April 8, and 9, 2017, on property described as follows: 7717 County Road 31, Fort Lupton, CO 80621; being further described as Lot B East 1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado. WHEREAS, said applicant has paid Weld County the sum of ONE -HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Berta and Martin Gutierrez, and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on April 8, and 9, 2017, be, and hereby is, granted to Berta and Martin Gutierrez to conduct a temporary assemblage at the hereinabove described location. cc : 6OCRS/ 5 K),Ca(FH), Q.PPL /Is/l-7 2017-0475 LC0022 TEMPORARY ASSEMBLY PERMIT — BERTA AND MARTIN GUTIERREZ PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of February, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:do je; Weld County Clerk to the Board BY APP puty Clerk to the Board County Attorney Date of signature:0/ (5/ 17 Julie A. Cozad, Chair Barbara Kirkmeyer Steve Moreno, Pro -Tern 2017-0475 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 13th day of February, 2017, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 11:00 a.m. until 5:00 p.m., on April 8, and 9, 2017, on property described as: 7717 County Road 31, Fort Lupton, CO 80621; being further described as Lot B East 1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado. This permit authorizes Berta and Martin Gutierrez to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 13th day of February, 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ditkiv ..l�to;tok• Weld County Clerk to the Board APP J( . puty Clerk to the Board ounty Attorney Date of signature:OD/f S/ Julie A. Cozad, Chair Steve Moreno, Pro-Tem rbara Kirkmeyer NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2017-0475 LC0022 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached and maps, sketches or drawings may be substituted for the verbal description of plans for the assembly site. All required information must be furnished before the application will be processed. NAME: 13.€ P —T A (A -r cL {'Yl U r� n u.-4-1 &seY i;z AGE: 0/ 4 7 RESIDENCE: '71 1 '7 CAS 3 I F F. LuP7on) / C4D 20 (off MAILING ADDRESS: j&rn e as about NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held:7717 C -R 3i rf.i-.ueronl, CO S2v1021 Lt E 1/2 or Sec -4i col A, low(k5kt o Nicm2Trt, Ray,je L• (,�,►<s - +hc, bits pin LJcAct C ofi 4 CD torn -do Name, residence and mailing address of the record owners of such property (Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners.) NAME: An (ty 41 A el tA-1-1 e l YCz RESIDENCE: 7117 C(/2-- -311 }-+. ,4) fon CL WOOL" - MAILING ADDRESS: Sam F' c NAME: CA'4-1-w A u, -1-t eYv e2_. RESIDENCE: 77 17 CA 31 C-- • L, uP lord (j. QOi, j, MAILING ADDRESS: Sct in o a6 ccbe /ea 2017-0475 0 :`000`00000 00 0`00 000 000.00 0000 (405c 2. Nature or purposes of the assembly: r-Rac' l� q gliCh+ J r pvo'ido 404 ahcj mP vt Cy elev-/-1 rc rni1(4ec 3. pates and hours during which the assembly is to be held: y' t' g g , ao/7 (aikvnafe cfdes) 4-15--'4 , OA. 4 i 3 3-x11 weri`idi,e' per NI; 441. 4. Maximum number of persons t9 be allowed at assembly at any one time: pax . (, Soo C open 5. The maximum number of tickets to be sold, if any: Al/fi 6. Identify plans to limit number of persons to the maximum identified above: $tLi,4 K1 V u u cis us', 11 Le._ (act -no -led 4-0 dose exx/y jdes ones � in - a-% `tarn has been m ei , e y� 1-�r -{-i tk of t.0 %il he i sSu eP (40✓1 e tiev'nj f `keteCve, kerP; nj i-vack or &Pouof o� pd. -epic etf c,/tn.+, 7 Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: 1 -3D -1+(r4 ()an( wit( be a uct:(aide +kvow hot et) c lerceketiAn C�'L d c�. Co m m e ,d t o Qm . d a psf 0' w; 11 6e, S ktole r -thc c��`s in46thnj oP 4v4.54 c-4 err' -p-11 (oo*+les. 8. Identify the plans for holding, collecting,, and disposing of solid waste materials: car -S-f-letro ].oat e_n--/'i re. ev m aid . Own g La ti 6 e_ ✓e pit c l &k y Dm -60 1 �-�- r l ecc-n la o P -4e✓ .e�e14.� 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number, and location, type and the means of disposing of wastes deposited: (yin 4cot Si -/c. SFv L) tGet well tie 1O rot1 /'di iy -/ he,sc set thaecs Unisex 10 0 te- , si n n -s L;41 h 6,a, 6,4" j c G K e d o [ JI A≤C- ft-NciuAle haiv►df:Loup Icfs as we -al . Oth 5c Ste R TWA M EMi 0:000'GOO 00000'CIO 000000.000000 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance service: E � � 19 Ti F}e-tfrn Er.ir 11. Identify the plans, if any, to illuminate the location of he assembly, including the source and amount of power, and the location of lamps: A/ 4 ✓cnnl --lo be At let dad n j dal /irk,; /d1LJ/IJH he u vs 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots: P!&/+S6 SEE fITfiCtiivttlJTS t(3 13. Identify the plans for communications with hospital, police, and fire services, including the sourc, amount, and location of communication equipment: %l cL/vt ed ices aLat d Seats r ; aft 6 uk-Gv✓ ciS he cat Co rn enn n i Gcc 'i OM es u- p m e n ye u_ i reel. 14. Identify the plans for camping facilities, if any: 77- 0 :`000`00000 00 0`00 000 000.000000 15. Identify the plans for fire protection: rat L pTO FIRE b f Sm/Q.1 C [S 1.5 in < lerS m av ent,42- 5rPC , — TP1 are w ; Li 4r_ i\)0 opeAn ire cut eLAyftYfle 16. Identify the plans for security, including the number of guards, their deployment, their names, addresses, credentials and hours of availability and description of peer group control, if any: —R0ckr I o un- -ciin !--t 15h Seetit r Imo.e. eL ERS 6 565 of meti mem/ # 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: / 1 /f 18. If applicable, identify plans for meeting County health standards for food concessions and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and their license permit numbers: ��.�. -food dors core (e 4 r'red, -1O he /i cernsel) P LEMSE S� E A ITHCHinENS 19. Identify the plans, if any, for an electrical system: 0:`000`00000000`00000000.000000 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage, prevent erosion, and preserve the scenic attributes; and the plans to abate dust on the site: 7-1/ L/& t l PE %v 21. Attach a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.B.13 of the Weld County Code to ensure performance by the applicant of each of the terms and conditions • the temporary assemblage permit. PL-L6,9Se se E /9 7 / AC/±/vtE1U i 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance, as required by Section 12-1-30.B.14 of the Weld County Code, to protect against injury to persons or property occurring as a result of such an assembly. PL6f g .S c 6 8- 777-1(31-4 LE N 23. Submit $100.00 fee for each event where three -hundred fifty (350) or more people assemble or can reasonably by anticipated to assemble at any one (1) location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the reminder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. BY THIS APPLICATION, APPLICANT(S) AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS, SERVANTS, AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT, AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. 0 :`000`0000000 0`00000 000.000000 The applicant, and each of them, swears, (affirms) that, to the best of his knowledge, the statements contained in the application are true and correct. Aid Rp,oltcant'3 i5t\dLk(t Malt -+t n �u,+l C.-1/4/ re 2 PIIc . s Prin Alt- n SUBSCRIBED AND SWORN to before me this 20 1 7 Witness my hand and official seal. My commission expires: 042 /20 It Applicant's signature oevtkeL. A • Gu:-c'eyred_ Applicant's printed name (A)ar)(l Applicant's position -01 day of Jt� Notary Public DAWN K0SHIO GILLESPIE NOTARY PUBLIC STATE OF COLORADO NOTARY ID 201040385130 My Commission Iris irptember 81 2418 M:\CTB\CTBFORMS\FOASMBLY.DOCdoc .F . A. 1.400_,C1; CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01-25-2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I I DAVID SIMON INSURANCE 420 Court Place Brighton, CO 80601 CON LACT NAME: PHONE ac No, Ext): (303) 659-9065 �� Na). (800) 726-3179 E-MAIL ADDRESS: 7 7"' bizbri�TcTTrlhton@ail . com PRODUCER CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Martin Gutierrez 7717 County Rd 31 Fort Lupton, Co 80621 INSURER A: Scottsdale insurance Company INSURER B: INSURER C: INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER wvn POLICY NUMBER POLICY EFF (MM/DDNYYY) POLICY EXP (MM/DD//YYYY) LIMITS GENERAL LIABILITY CPS2623784 04/08/2017 04/10/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 CLAIMS -MADE li I OCCUR PERSONAL &ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY n PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANYAUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ HIRED AUTOS UNINSURED MOTORIST $ NON -OWNED AUTOS Medical Payments $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DEDUCTIBLE RETENTION $$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N N N A 1 WC STATU- TORY LIMITS I OTH- ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERJEXECUTIVE /M 0FFICEREMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF Special Two Day Weather OPERATIONS / LOCATIONS / VEHICLES Events Policy Horse Race event Permitting or it will (Attach scheduled be held ACORD on 101, to be 04-15-2014 Additional Remarks Schedule, held on 04-08-2014 and 04-16-2014 if more and space is required) 04-10-2014 at 7717 County Road 31 Fort Lupton, CO. 80621 CANCELLATION Weld County 1150 O Street Greeley, CO 80632 ov.com crempble@weldgov.com weld � P @ 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE David Simon ACORD25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD United Site Services of Colorado, Inc. Customer Service: 1-800-864-5387 Bill RANCHO CAPORAL To: 7717 CR 31 FORT LUPTON, CO 80621 Items Rented United SITE SERVICES ORDER Customer ID: Order No: Order Date: Terms: P.O. No: Salesperson: Cust. Serv. Rep.: Page: 1 DEN -05637 0-821691 01/11/16 Due Upon Receipt Brett L. Angell Ship MARTIN GUTIERREZ HORSE EVENT To: PORTABLE RESTROOM SERVICES 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 Item / Description Quantity Rental Term From / Thru Unit Price Total Price DXR Deluxe Restroom DW Damage Waiver ADA ADA Wheelchair Accessible DWP Damage Waiver 2SS 2 Station Sink DW Damage Waiver SPC-ALL Event Service Sun (6-9am) 12 Each 12 Each 2 Each 2 Each 5 Each 5 Each 19 Each 04/07/17 04/10/17 04/07/17 04/10/17 04/07/17 04/10/17 04/07/17 04/10/17 04/07/17 04/10/17 04/07/17 04/10/17 04/09/17 04/10/17 80.00 10.00 120.00 10.00 80.00 10.00 27.25 960.00 120.00 240.00 20.00 400.00 50.00 517.75 Remit To: United Site Services, PO Box 53267, Phoenix, AZ 85072-3267 Subtotal: Total: 2,307.75 2,307.75 Signature Date: • N 0 " • Y ' g ' nit 7.1" g miNn; lq; iII ig ra s wane- C 1,20.12' H 0W1C36' W 41281Qb5' 0 tIg <114 (.wM-do ,aa) It GYM _MAO OD CM be -- VI= Al _WA 1A0 N—' �- NOU4sW C3Clita 6 an Corns - --- AN3113SY! Asa 0071?7r t 112072' 17W S 00'14'3x' E 422,3 �3 a k'S ire ROCKY MOUNTAIN HIGH SECURITY, LLC. 6475 South Cody Street Littleton, Colorado 80123 January 17 2017 Ref: Event April 08 and 09 2017 303-973-8301 720-922-2904 fax Mr. Martin Gutierrez, Rocky Mountain High Security LLC. will provide Security for your event on April 8, 9 20I7 and rain dates of April 15 and 16 2017 or April 22 and 23 2017. Our company will provide fourteen armed officers with radios and cell phones. six officers speak Spanish .Our officers have First Aid, CPR training .I have been in contact with the Weld County Sheriff Office about the number of officers we will have at the event. Please post the No Firearms or Alcohol allowed signs at the gates. We are License, Bonded and Insured .A deposit has been paid for this event and the balance due at time of service. Our company has provided security for this event for the past six years without having to call the Weld County Sheriff for any kind of incident. If you have any questions please contact us at 303 973 8301 or Cell 303 324 2206 Rocky Mountain High Security LLC. James A. Swaen CEO WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES 1555 N 17TH AVE GREELEY, CO 80631 970-304-6415 RECEIPT RECEIVED FROM: YAVILETH BUENROSTRO YAVILETH BUENROSTRO 4500 NEPAL ST DENVER, CO 80249 RE : MI RANCHITO Invoice Number IN0021993 1 Date 1/18/2017 Receipt Number Facility Number [RP0019088 I FA0002549 ti Date Program/ Element Description Amount 12/31/16 01/18/17 2027 Food 2 Mobile Unit (full food service) 9999 Payment Received By: SILVIA CERRILLO PAYMENT Payment Type Cash $ 330.00 $ 330.00 Total Due for This Invoice: $ 0.00 DR 0001 (011/14/12) COLORADO DflARTien' OP Rowans ue CENVER CO 80261.pot3 Mn'. TaxCo orado. cam RENEWAL APPLICATION FOR LICENSE TO CONDUCT A RETAIL FOOD ESTABLISHMENT • . Sens, application and payment to the address at the bottom of the renewal form. If you have any questions regarding ----. 9 g your retail food establishment license fees, please contact your local health agency. • 17O NOT USE THIS FORM IF THERE HAS BEEN A CHANGE IN OWNERSHIP, • Contact the health agenoy noted below for an original appication form end approval', • This application for license will be rejected unless proper payment is attached. Taxpayer Name YAV!LETIN BUENROSTRO OsA lv(I RANCHITO ACCOUNT NUMBER Use for ell raferenoe 278322310000 LIABILITY INFORMATION COUNTY CITY 62 INDUST LOCATION MOBILE UNIT ADDRESS FEDRAL. HEIGHTS, CO 80260 In oonsiderabon Establishment thereof, I do hereby certify that I have complied with all the Items of sanitation as listed In the Colorado Stale Retail Food and that I have compiled with all orders given me by authorized in Health and Environment. I do hereby agree that In the event that the items d sanitation arenoot complied with, ttors of the will toed until such time as requirements are met, discontinue serving Iii ,v. c nee TYPt: LIABILITY OAT! 3289 4/10/2015 LICENSE YEAR DUE DATE Ado DAY YEAR 2016 12/31/2015 KEEP THIS COPY 7 •FQOD 2 MOSILB UNIT MAKE CHECKS PAYABLE TOL WELD COUNTY HEALTH DEPARTMENT (Do not P riv in Spice Wm) ♦ Cut Hen and send only the coupon below. Help us save time and your tax dollars, • Las.215 00 Amount Owed NORTH DENVER ANIMAL CLINIC 7150 LAFAYETTE ST. DENVER, CO 80229 303-288-8200 January 23, 2017 To Whom It May Concern: I will be the "on -call" emergency veterinarian for Martin Guttierez on April 8-9, 15-16, and 22-23. There will be some private races being conducted on his ranch property on these dates. I have been Martin's veterinarian for over 20 years. If there are any questions, contact my office. Sincerely, Dr. Michael P. Scott Wagy, Mitch E From: Sent: To: Cc: Subject: 01/25/2017 Martin, Wagy, Mitch E Wednesday, January 25, 2017 11:03 AM Wagy, Mitch E Berkheimer, Megan A FW: Horse race 2016 Martin Gutierrez As you requested Banner Paramedic Services will be providing ACLS/ Ambulance coverage to Martin Gutierrez for his horse races for the 2017 year on April 8th & 9th with weather dates of 15 & 16th or 22rd& 23th if need. Address and legal Description : 7717 WCR 31 Fort Lupton Co, 80621 @ 150.00 per Hour. MARTIN GUTIERREZ 7717 WCR 31 FT. LUPTON, CO 80621 Phone: 303-263-6555 Fax: 303-857-8587 Paramedic services agreement for horse race scheduled April Sth and fir . Weather delay dates as above. Assistant Chief Banner Health / NCMC 1 NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4225, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail correspondence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2017-17 DATE: February 13, 2017 TIME: 9:00 a.m. APPLICANT: Berta and Martin Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly of more than 350 persons on April 8, and 9, 2017. LEGAL DESCRIPTION: Lot B East 1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado. LOCATION: 7717 County Road 31, Fort Lupton, CO 80621, with the entrance lying 670 feet south of the intersection of County Road 31 and Mary Avenue, and 783 feet north of the intersection of County Road 31 and Lamb Avenue. (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: January 27, 2017 PUBLISHED: February 2, 2017, in the Greeley Tribune Affidavit of Publication NOTICE,OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 0 Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to partici- pate in this hearing, please contact the Clerk to the Board's Of- fice at (970) 400-4225, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners,Weld County Ad- ministration Building, 1150O Street, Greeley, Colorado 80631. E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail cor- respondence into the case file, please send a copy to crempel@weldgov.com. DOCKET it: 2017-17 DATE: February 13, 2017 TIME: 9:00 a.m. APPLICANT: Berta and Martin Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly of more than 350 persons on April 8, and 9, 2017. LEGAL DESCRIPTION: Lot B East 1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado. LOCATION: 7717 County Road 31, Fort Lupton, CO 80621, with the entrance lying 670 feet south of the Intersection of County Road 31 and Mary Avenue, and 783 feet north of the In- tersection of County Road 31 and Lamb Avenue. (See Legal De- scription for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: January 27, 2017 The Tribune February 2, 2017 STATE OF COLORADO County of Weld, I Kelly Ash of said County of Weld, being duly sworn, that I am an advertising clerk of SS. say THE GREELEY TRIBUNE, that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days): that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the Second day of February A.D. 2017 and the last publication thereof: in the issue of said newspaper bearing the date of the Second day of February A.D. 2017 that said The Greeley Tribune has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3,1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. February 2, 2017 Total Charges: $13.82 C-12 2nd day of February 2017 My Commission Expires 2/14/2019 O co o c.1 o co co U O O >; m co C a) °I(,° O ° o a -O m a� °' N CO CO O cc CD T.) RECEIPT DATE O1 / O5 / 00181 RECEIVED FROM (ciP r+i n C2o fri errcZ. NO. 89092 ADDRESS '1 - I -7 CR 31, Et. Lop ton , C',o firOCol One- hundred end "/loo Q0(Io-rs -- s 1OO. 00 FOR LtJG Ttrepora-rt* Osstrrib! . Opptic scion HOW PAID CASH 100.©0 CHECK MONEY ORDER RECEIPT BY0912_0%k,, DATE O 1 / Q5 / Q0 17 NO. RECEIVED FROM On l o-r+i n f + rGZ ADDRESS 1 `1 I ^1 CR a 1 , rf . Lop+on . Co g"O�p o`� t here -es 4-1n o ()sound end 00/too S 0O FOR Sond Far TZrnparctc Q 5sty I(QI Opp icottiOn 89093 HOW PAID CASH CHECK moo.' 5053 MONEY ORDER Va4+ sosD BY 09\12P -E...• Chloe Rempel From: Sent: To: Subject: Sam Kaneta III Wednesday, January 25, 2017 1:17 PM Chloe Rempel RE: Temporary Assembly Application - Berta and Martin Gutierrez Looking through the local records management system (Spillman), I found no complaints within the past year. I checked both parties attached to the application as well as the address. Sam Kaneta III Weld County Sheriff's Office 1950 O Street Greeley, CO 80631 970-356-4015 ext 2877 skaneta@co.weld.co.us From: Chloe Rempel Sent: Wednesday, January 25, 2017 1:12 PM To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Cc: Frank Haug <fhaug@co.weld.co.us> Subject: Temporary Assembly Application - Berta and Martin Gutierrez Hello, In accordance with the procedure for processing Temporary Assembly Applications, please review all records on the following document/establishment for any associated reports and/or incidents, and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. PLEASE RESPOND NO LATER THAN: February 8, 2017 at 5:00 p.m. Applicant: Berta and Martin Gutierrez 7717 CR 31 Fort Lupton, CO 80621 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 1 Chloe Rempel From: Sent: To: Subject: Attachments: Bethany Pascoe Friday, January 27, 2017 8:08 AM Chloe Rempel RE: Temporary Assembly Application - Berta and Martin Gutierrez LC0022.2017.doc Please see attached referral response. Thank -you © From: Chloe Rempel Sent: Wednesday, January 25, 2017 1:12 PM To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Cc: Frank Haug <fhaug@co.weld.co.us> Subject: Temporary Assembly Application - Berta and Martin Gutierrez Hello, In accordance with the procedure for processing Temporary Assembly Applications, please review all records on the following document/establishment for any associated reports and/or incidents, and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. PLEASE RESPOND NO LATER THAN: February 8, 2017 at 5:00 p.m. Applicant: Berta and Martin Gutierrez 7717 CR 31 Fort Lupton, CO 80621 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 1 MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board January 26, 2017 From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Applicant and Location of Event: Berta & Martin Gutierrez 7717 County Road 31 Fort Lupton, Co 80621 Zone District: A (Agricultural) Dates of Events: April 8 & 9, 2017 or April 15 & 16, 2017 (weather alternate date) or April 22 & 23, 2017 (weather alternate date) My records indicate that Mr. & Mrs. Gutierrez own 2 (two) separate adjacent properties: 1309-28-1-00-058 (consists of approximately 10 acres) 1309-28-1-00-059 (consists of approximately 36.19 acres) Therefore, total number of LIVESTOCK (i.e. horses, cattle, etc) could not exceed 184 (46 acres x 4 = 184). Again, their application states APPROXIMATELY 1500 people which does not set an exact attendance limit. No active violations were noted. SERVICE, TEAMWORK, INTEGRITY, QUALITY Chloe Rempel From: Sent: To: Subject: berta gutierrez <lachata2@yahoo.com> Friday, January 27, 2017 9:04 AM Chloe Rempel Permit for temporary assembly - Martin & Berta Gutierrez The attendance allowed for this assembly will be 1,500 people or less. Chloe Rempel From: Sent: To: Subject: Attachments: Hi Chloe, Janet Lundquist Friday, January 27, 2017 1:41 PM Chloe Rempel RE: Temporary Assembly Application - Berta and Martin Gutierrez Temp Assembly Gutierrez Horse Race 012717.doc I attached a referral for you. If you need anything else please let me know. Have a great weekend. Janet Lundquist Support Services Manager Weld County Public Works Dept. P.O. Box 758, Greeley, CO 80632 Tele-970.356.4000 ext 3726 Fax- 970.304.6497 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Chloe Rempel Sent: Wednesday, January 25, 2017 1:12 PM To: Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Sam Kaneta III; Janet Lundquist; Roy Rudisill Cc: Frank Haug Subject: Temporary Assembly Application - Berta and Martin Gutierrez Hello, In accordance with the procedure for processing Temporary Assembly Applications, please review all records on the following document/establishment for any associated reports and/or incidents, and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. PLEASE RESPOND NO LATER THAN: February 8, 2017 at 5:00 p.m. Applicant: Berta and Martin Gutierrez 7717 CR 31 Fort Lupton, CO 80621 1 MEMORANDUM TO: Chloe Rempel, Clerk to the Board DATE: 01/27/17 FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly Gutierrez Horse Racing Event The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1.500 vehicles will require parking on the property 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. The applicant submitted an acceptable Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page - 1 - of 1 February 23, 2016 C:\Users\crempel\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\P1OEICGB\Temp Assembly Gutierrez Horse Race 012717.doc Chloe Rem el From: Sent: To: Subject: Attachments: Deb Adamson Thursday, February 09, 2017 10:33 AM Chloe Rempel; Dan Joseph; Jose Gonzalez; Roy Rudisill RE: Temporary Assembly Application - Berta and Martin Gutierrez Temporary Assembly Memo Martin Gutierrez 2017.docx Chloe, attached is the usual memo that Dan sends, updated to reflect the info on the application for the event. Let me know if you have questions. Debra Adamson, MPH, CP-FS Consumer Protection Manager, Environmental Health Services Weld County Department of Public Health and Environment 1555 North 17th Avenue, Greeley, Colorado 80631 Tel: 970.400.2243 Fax: 970.304.6411 DO C Pt- AB 4.4.4.111 -bi. !ti tar ACtn►chis; Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Chloe Rempel Sent: Thursday, February 09, 2017 8:50 AM To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Subject: FW: Temporary Assembly Application - Berta and Martin Gutierrez Good Morning Everyone, Do you have your referrals responses for the below temporary assembly application? It is on the agenda Monday, and Frank needs time to review the application and your responses. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 1 Memorandum TO: Chloe Rempel FROM: Debra Adamson, Consumer Protection Manager DATE: February 9, 2017 SUBJECT: Martin Gutierrez Temporary Assembly Request In response to your request, Environmental Health Services has reviewed the Temporary Assembly Application, for Martin and Bertha Gutierrez, in regard to an event scheduled for April 8 and 9, 2017, to be held at 7717 WCR 31, in Fort Lupton, Colorado. After reviewing the application, the following is the recommendation made by this Department: 1) Temporary hand washing stations should be located outside the portable toilets. We recommend that there be one hand washing station for every two portable toilets (provided the toilets are in close proximity to one another). If the portable toilets are spread throughout the facility we recommend one hand washing facility per toilet. Based on number of toilets being provided (14) we recommend having 7 hand washing stations. The 5 dual sinks being provided may meet this requirement provided that portable toilets are located within close proximity to one another. In addition, the Department reviewed our complaint database and did not find any complaints filed for that address or for the applicant. Should you have any questions regarding this matter, please contact me at extension 2243 or via e- mail at dadamsonnco.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Dan Joseph, Environmental Health Services Chloe Rempel From: Sent: To: Subject: Jose Gonzalez Thursday, February 09, 2017 10:22 AM Chloe Rempel; Dan Joseph; Deb Adamson; Roy Rudisill RE: Temporary Assembly Application - Berta and Martin Gutierrez No concerns form building department Thanks Jose Gonzalez Assiss Building Official Planning Services 1555 N 17th Ave 970-400-3533 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Chloe Rempel Sent: Thursday, February 09, 2017 8:50 AM To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Subject: FW: Temporary Assembly Application - Berta and Martin Gutierrez Good Morning Everyone, Do you have your referrals responses for the below temporary assembly application? It is on the agenda Monday, and Frank needs time to review the application and your responses. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 Street Greeley, CO 80631 tel: 970-400-4225 1 Chloe Rempel From: Sent: To: Cc: Subject: Roy Rudisill Thursday, February 09, 2017 9:44 AM Chloe Rempel Dan Joseph; Deb Adamson; Jose Gonzalez Re: Temporary Assembly Application - Berta and Martin Gutierrez OEM has no issues with the event and I have communicated with the first responder agencies and they have no issues either. Director Roy Rudisill Weld County Office of Emergency Management 1150 O Street Greeley Co. 80632 970-304-6540 W 970-381-0417 C > On Feb 9, 2017, at 8:49 AM, Chloe Rempel <crempel@co.weld.co.us>wrote: > Good Morning Everyone, > Do you have your referrals responses for the below temporary assembly application? It is on the agenda Monday, and Frank needs time to review the application and your responses. > Thank you, > Chloe A. Rempel > Deputy Clerk to the Board > Weld County > 1150 O Street > Greeley, CO 80631 > tel: 970-400-4225 > [cid:image003.jpg@01D282B1.72746A60] > Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. > From: Chloe Rempel > Sent: Wednesday, January 25, 2017 1:12 PM > To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson > <dadamson@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Jose > Gonzalez <jgonzalez@co.weld.co.us>; Sam Kaneta III > <skaneta@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; > Roy Rudisill <rrudisill@co.weld.co.us> > Cc: Frank Haug <fhaug@co.weld.co.us> 1 I I I ■ ei r 13 cn 0 .c a) .c O L 4 i r O N O V C M co ID E www co mo a) tii co CJ) C O C/) 2 a) a O 4) ...0 • Co O = L C... r E 6 E E . -4_, x co g 2 ?i5 L W C n W O O Z O C.) CO a: 0 ?2 a3 .— co Cii E Zs C > Q . a C ■ U J J ■ L z c.) a) mc a) • as C 0 E >i C) 0 W >ii. co a E 0 O >% C) a) CO . C CZ CL CO Co a) a_ U_ O X US y a) o n Q Fourteen (14) armed officers with radios and ce O) c .C (6 cmC 0_ O 7 (6 PI_ a) Co a) 0 _ t O Q .a) U as a as C) 115 a) 2 Banner Paramedic Services attending the event. C) a) O C C a) CO -o Co a) a O a a) 4J E O CO Co a) E In U .17) Ii O a J - o I..I as mci It is a) c L cts arge parking lot. Q. co O 2 r C Q o 0 C O Co 0 a) Q co w c a) a) E U � O W W (a _ _C O a co _o s.._ 3 O. O O. a) < 0) L 4-• as a) s2 as a) a I' C > Q) O n Is I' O O ..c W O L a cn La C'3 Q) CO C a) > a) a) IS O n O) O L ...., ÷:s ...c Q) C) > c O CO O > CO O al L L CO CO O Q W a_ all E O = U -o co Li- . W ^L` O LI E W O cn O C O co a ■ r1 w & L .)u) ♦— co O \I) Co L V3 c co E2 r co ■3 cnE.) E— O O Co ities: United Site Services Ell o as LL a) a) cn cn d) U U co Q 0 Q 0) 0 c U E O O Co Q) L C Co Co C O Co cm Co (0 th E O 0 c73 int Tn, T L o a) W ID • > O L a O O m Li- :;:. 0 ern ^' L W ' � W 12 D O aj 5c: Vt 0•> o a3 us. ›- O W Co r♦� v CO I Es O O -O O _c D O w 7:3 (0 C13 O o O 0 O s&I) .2 mci,• c = o O o }' U -0 a) a) > E -O 4) Q) .0 Co mac O 7 Co a C a) 4) si Q) > Co n Co Q) 4) y -- C O L U a) < W la C Co 0 a a co event and • 0 0 C Co 2 C C a) C ca E ca C!) C as C a) a) J a; 44-= O cn L CD Co C Ct C O 0 O C Cn a) O -o co c)._ Ct E L-: a) co a) tin W -FCA 4-, CO C a a) a) E 2 a) -4 --" C) c cz E ÷, co -5. E ' Cn w -a L cy3 O U a a) E � O co U U >> O c J CO C CD W ID • N ' -o O et .;-; cu E a) a) co cu 2 >I O c au E32 E cu Q a) c.i o 4: z 5 Cn a) 0 C a) 0) Co L- o -o O a Cn a) 92 CD LL a) E CD :E co Cn C E a) 0 C 0 O vh C a) 0 C O 0 O C a) > co 73 C CO -6 CD . 0 c ui co co O I. D O 0 a) CO _ , = O Cr -a a) c z O J — co a) a) al . CI; s- 0 V .. Z a. require parking on the property. U) a) O a) > O O r O O) CCS •_ F L X aCCU 0 a O a Z Q U) . Co , Q ^ 2 Q w I LL U - U) 0 C aJ a) Q -E E O o) Co c co 2 >, C a) 2) E LLJ Co O D a) 4-6 L.I. O O c _c >, _o a) .C E (w r1 C a) F- -O co C) Q -2 Co N Co I O O LL co 0 a) a U) Co C U) Co a) Co inns a_ U b c co O seal 0 0 Co F- a) Co a a) O 0 Co c Co D a) II E -o C co 0 a a co a) F— r. U) 0 E- " w CL .5 CD a D CI) 0 E O 0 0 T. C F— co a ) . E ge. L._ ..o O = o cn Co -o a) co a ^ i a O a) 0 O a) Is O I' c co ncident Action I C O F O 0) co c Co O 2 .4--; >, -o c O a) L o) o E Q in a) 0 C) C to a) m C E It a a) C 0) C 0 N U tan a) nr. O N Co U O) Co Q ui ^ W L (/) U () Co L U 0) Co r O Cal CO ) a) a3 Co E E x x O O L L 0_ 0_ a a_ Co Co O O U) U) u) ( w C C O O co a) is) O O O O 1 1 N N 1 1 O 0) O O co co r r A A ivestock cannot exceed 184. O ^L1 _o W E C Co ÷c5 No active violations noted. a) c5 N C 0 CD CD 0 C 4) E CS a a) C C m No concerns at this time. the Deb Adamson co a) I Environmenta a) O) -c c ^+-+ • — W Co 4 O c -O CO a) _C Sc.4-ul E O) Cl)co O N- >N D co L L CO �� U .c -0 O E>o C6 7 O O c -O a n0)O o O O E n aJ o AD , cn c.) w 55ca .C O - • - cn ID' cr) fa •— c ,g, O P •tea) a) .O r a--� O O U o_ 92 O a) a) 2 -O a) wit > re LI— a) _c E— a) > c O O +-r L • a co � L � � Cn a) r2W OLi, L a) -E co O wL r1 CO o 15 c w a cz o — -O EL6 �a2s= a) o 2 -n— co H aCn.it_c 2 Co a) . O a) _a co L O a Co _c a) .> O) C aw% a) E 2 .= C) U) _c a) O O Co a) 9O . E O a a) cn "rn Co a O C 2..) Co 4) a) -O mc co -o' O . c .O Co > ,U O a L a C CCS a) L a) o ID W w c Co a) -c -c a)7 cn Co 0 _o n co -i-a co L 0 .4 -di (4c U Co . Co c as a) E E a) }' O o EOo County Attorney: Frank Haug L co 0 0) C > O E C ow > a) a) in us .- a) Ln On co a) O C0 a a) c3 — Co a) cn • cn 2 > a) E O > .1, (t -C = E a) ca o a) a < Q tan co ru to m N O D 0 .11 D N U.S. Postal ServiceTM CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com`° Certified Mail Fee snf Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mail Restricted Delivery $ El Adult Signature Required $ o Adult Signature Restricted Delivery $ Postage $nIG+ Total Postage and Fees Postmark Here Op/IS/1 7 S nt To Beri-as• Cpcifit t, Street and Apt. No. or PO Box No. -7117 CR City State, Z/P+4 i •■• a• ate • at PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions Hello