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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20153146.tiff
SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # Is CASE # ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number 0 B O - 3 3 - f - O - (12 digit number - found on Tax I.D. information, obtainable at the Weld CSunt 9 Y Assessor's Office, or www.co.weld.co.us)•Legal Description t o -t ko 'n \1/4 hotkc , Section 53, Township I North, Range ble/1/est Zone District: , Total Acreage: c7. 1 1 1 , Flood Plain: Nip , Geological Hazard : k4 o✓t,e , Airport Overlay District: N. O FEE OWNERS) OF THE PROPERTY:Name: (./ Int. - /Ian n , D /NU ►.4, Work Phone # tonA Home Phone # tj p - 330. 434111 Email N /6 Address: 7 n1 30 ""4,4,e tle_ \/,'sv Address: City/State/Zip Code Cir.t ` , Co p; 0 b ) ,l Name: Rto \C Work Phone # Home Phone # LA i ,a Email k / A Address: 4; c> c • e LS V Address: City/State/Zip Code ( -i ► .; Ave , i (' Y> (-a,\l” Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) o Name: n , c Pei v i Da Work Phone # '1 ?G. iclG c /q/ Home Phone # s,, r . Email 4 4, 6 xi, t1 I/ 7 c gg f Na 1 Address: 5 q0 k, C I Address: City/State/Zip Code 6' a r -rs /4-19 e `-6 6 G '3 PROPOSED USE: %Mry e Ct C\ GAiAck:tn Cl- tAn60A 0A'1 ► cS I L053 _cc V\ \Or Reit I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be includg indicating that the signatory has to legal authority to sign for the corporation. . c-Ve 7 /Sign $te : Owner or # uthorized Agent ate Signature: Owner or Authorized Agent Date RECEIVED SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIALMAY 0 7 2015 REVIEW (USR) APPLICATION rt Planning Department GRE `ICE FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # IS CASE # ASSIGNED: USR14-0046 APPLICATION RECEIVED BY PLANNER ASSIGNED: Kim Ogle Parcel Number 0805-33-0-00-089 (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.we'd.co.Ls) Legal Description PART LOT B OF RE-783 E2, Section 33, Township 6 North, Range 66West Zone District: AG, Total Acreage +/- 53 Flood Plain: YES Geological Hazard: NO, Airport Overlay District: NO FEE OWNER(S) OF THE PROPERTY: Name: WINDON & BETSY DAVIS Work Phone # Home Phone # Email _ Address:2730 W. BUENA VISTA DRIVE City/State/Zip Code: GREELEY, COLORADO 80634 Name: Work Phone # Home Phone # Email Address Address: City/State/Zip Code Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHOR)ZED AGENT (See Below Authorization must accompany applications signed by Authorized Agent) 1) 4 Odc Name: STEPHAN, ODELL ��� '• c� � Work Phone # 970. 724.3001 Home Phone # 970.903.9638 ErnaiISJJDELL1 YAHOO.COM Address: P.O. BOX 1686 City/State/Zip Code FRASER, COLORADO 80442 PROPOSED USE: A SITE SPECIFIC DEVELOPMENT PLAN AND SPECIAL REVIEW PERMIT FOR AN AGRICULTURAL SERVICE ESTABLISHMENT PRIMARILY ENGAGED IN PERFORMING AGRICULTURAL, ANIMAL HUSBANDRY OR HORTICULTURAL SERVICES ON A FEE OR CONTRACT BASIS, INCLUDING USES SIMILAR TO THE USES LISTED IN SECTION 23-3-40 AS USES BY SPECIAL REVIEW AS LONG AS THE USE (GRINDING AND STORAGE OF WOOD CHIPS AND LOGS FOR LIVESTOCK BEDDING) COMPLIES WITH THE GENERAL INTENT OF THE A (AGRICULTURAL) ZONE DISTRICT I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner. notarized evidence must be included :ndicating that the signatory has to legal authority to sign for the corporation. %?(-i-t:Lr 12 AV/ ignatur : Stephanie L. Odell, Personal Representative Date EXHIBIT 3 General Durable Power of Attorney Of Windon H. Davis I, Windon H. Davis, of Greeley, Colorado, the principal, designate my wife, Betsy L. Davis, as my attorney-in-fact (subsequently called agent. If she is living and able, she may serve as my agent. If she is not living or available at the time this Power would become effective, I designate Rick Austin Davis of Greeley, Colorado, to serve as my agent. This grant of authority to Rick Austin Davis shall be effective only upon and for the duration of my incapacity as evidenced by a writing by a physician licensed to practice medicine in the state where I reside or where I am incapacitated. My agent may do everything necessary in my name and for my benefit which I could do if I were personally present and able. It is my intention that my agent may perform any act and exercise any power, duty, right, or obligation that I could perform or exercise. Such authority is intended to relate to any person, transaction, or interest concerning real and personal property, including intangible property interests, in which I now have an interest, and property in which my interest is subsequently acquired. I empower my agent to delegate authority to others. The following powers are illustrative of my agent's authority; they are not intended to be exclusive: 1 . To acquire, encumber and dispose of any interest of mine in real or personal property upon such terms as my agent determines to be appropriate. 2. To hold, invest, lease and otherwise manage any interest of mine in real or personal property; to recover possession of property by lawful means; and to maintain, protect, insure, move, store, report, rebuild, alter, or improve any of that property. 3 . To acquire and dispose of any interest that I have in stocks, bonds, other securities, and government investments, including Treasury bills, bonds and notes. 1 4. To transact every kind of business including the collection, payment, and settlement of all amounts and interests receivable by me or payable by me or to me. 5 . To make, endorse, execute, deliver and receive deeds, assignments, contracts, checks, drafts, notes, receipts, releases and any other written instruments that may be necessary. This power expressly includes the authority to endorse and collect obligations of the United States Government or any other governmental entity and to obtain duplicates for checks or other instruments which are missing for any reason. 6. To deposit or withdraw from any account or interest of mine in any bank, investment institution, credit union, savings and loan association, or similar institution; to open accounts in any such institution in my name, or in the name of my agent. 7. To borrow in my name and for my benefit, upon such terms as my agent determines to be necessary, and to pledge or give as security therefor any of my property. 8. To institute, prosecute, defend, compromise, arbitrate and settle legal or administrative proceedings, or otherwise engage in litigation on my behalf 9. To hire and dismiss agents, counsel and other employees, upon such terms as my agent determines to be appropriate. 10. To pay persons and organizations for goods and services provided to me or for my benefit, including reasonable compensation to my agent. If I become disabled or incompetent, my agent shall not be obliged to obtain approval of such payments by any individual or court. I exonerate my agent for payments made in good faith pursuant to this authorization. 11 . To prepare, execute and file income and other tax returns in all appropriate taxing jurisdictions; to execute Federal Tax Form 2848, or any power of attorney form required by the Internal Revenue Service or state authority; to exercise any elections I may have under federal, state, or local tax law; and generally to represent me in all tax matters and proceedings of all 2 kinds and for all periods before or after the date of this delegation, before all offices and officers of the Internal Revenue Service, state taxing authority, and any other taxing body. 12. To have access to any safe deposit box or boxes of which I am an owner or lessee; to remove or deposit property of mine; to surrender any such box or boxes; and to rent a safe deposit box or boxes in my name or in the name of my agent, or both. 13 . To transfer all or any part of property owned by me or in which I have an interest to the trustee of any revocable trust created by me during my lifetime, such that the same is held and becomes a part of the corpus of that trust to be dealt with in accordance with the terms of such trust. In the event it becomes necessary to appoint a guardian or a conservator for me, I direct that the court having jurisdiction over me appoint the agent named in this durable power of attorney or the successor agent in the event that the named agent is unable to serve. This general power of attorney is durable. It shall not terminate in the event of my incapacity and shall survive until my death. It is written and executed in the State of Colorado and shall be interpreted in accordance with the laws of that state. IN WITNESS WHEREOF, I have hereunto set my hand and seal on June 29, 2010. fi e ZVa Principal 3 STATE OF COLORADO ) ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me on June 29, 2010, by Windon H. Davis. Witness my hand and official seal. My commission expires 5-3-13 0,,,, ,,,.,„,„„ Notary ub is [SEAL r NOTARY PUBLIC A O %-7)Z<% ocn //,° CTC‘`\\\ 4 iir 'QV 'r' r .K,S `r -... W �. �. v, W•� 's,r,,w V T ..if�er: r zitc i;! } r Vi c. ` r ' ' tt, " 11 %, ; . �,: C�`�11. ��Ei , �(( `f +?\ iW's r� : '87#3, .{7i :Ju<, h;;. , : e ;at� �./, / < : r Altaiv , r •� —, ':E- . •- ,t: la`• i :♦ •I r..- .r .w t U' A ,�' 'i...` . l,1; I, •r:'fa:v`; x• 1f...�'�/' ' n,;',14•94A‘/° / y ,• �� 'y� l 1 �' •� !(�.�{ /. • /' t1 /. it.-7., -n� b. •. ` "` r CERTIFICATION OF VITAL RECORD -;-5'.." ,;- -,.� ../ ti . l- a:. . '' 1� � S�JG - $:—.} -r ( r'-:-t, .- --o' et:- NI S."-:-.. .- _ k C �. .,� _ ,. • R :e...% f\ -'v �-;r, ADOMItlY�{�MIlYrant' • • t `�. t : .! + -•, trifil. t 1 ,,r30.41- 4.-::49:11". 11 t -''mil 1 t. i f STATE OF COLORADO ; ' a • 5F1rr COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT •� HOLD TO LIGHT TO VIEW WATERMARK STATE OF COLORADO s \ CERTIFICATE OF DEATH STATE FILE NUMBER 1. DECEDENTS NAME(First MM)dle, Last) 2. SEX 3. DATE a DEATH(Monttitay.'(ear) 1 I.)4. Betsy Louise DAVIS Female February 14 , 2013 4. SOCIAl. SECURITY N umaeR 5a. AGE- 5b.UNDER 1 YEAR Sc. UNDERWAY DAY 6. DATE Oa 7. B ' ''�' a and or • n an tJ (Years) OF/5 its Mos Month Day Year i • 471-30-0964 87 May 24 , 1925 Sherburn, MN , i 8 WAS DECEDENT EVER 9a.-PLACE OF DEATH (Chedtoedyone) i IN U.S. ARMED FORCES HOSPITAL: : OTHER: O /1sslswdtitifp kra-g- Harle ® Hospoe O Decedents Residence O ® No ❑ ❑ I IOuaallart ❑ DOA : ❑ omet rk Yee ,p a nuna ) 9c. CITY, TOWN. OR COCATRDN O AT URrir 1FDERTN- ce}i" Hospice of Northern Colorado Greeley Weld i P 10a.DECEDENTS USUAL OCCUPATION(w Idnd a wo& lab. KIND OF BUSINESS/INDUSTRY 11.MARITAL STATUS 1275 l ( pre rnoiden name done doing mat of wottng MK Do NOT use Sired) C rind 0 Ent ffin .d b; W Interior Decorator Design P __d El 'mess Windon H . Davis _ P IX 13a RESIDENCE-STATE 13b.COUNTY T, 13e, CITY,TOWN, OR LOCATION [13d. STREET AND NUMBER ii Colorado Weld Greeley 2730 Buena Vista Drive ''S (SD�c Q 13e. RODE OW LSflS? 3l2>P CODE 14.WAS DECEOENf•OF HISPANIC OWC'�iPtl 16.RACE:Amaricankmaan.Black.While.etc 16.E M fI�Yt a�'lu- ll) lit (� es' sMPo Rern.ate.) ( ro6ppe(1 18 ar 17+)11 W DYM pw 80634 "' W• hite 16 _ � Z, Yee Spdr B.IFORMAHT NAME and rsmionship to deceased D. i ❑ T. FATTER-NAME (Flat Midde. Last) 8 MOTHER- (Fit*,Middle, �r - 'falter\ Faber Esther Salisbury Windon Davis - Husband 6, 20a. METHOO OF DISPOSITION O 2Db. PLACE OF OtSPOSITION(Name d celnxlte y. crematory, a ono ' 20c.LOCATION-City a Town, State Resom�an place) f Ot ®mate; [pommel t�' Allnutt Crematory Loveland, CO � 1i ❑Damien ❑OtEe+r(SpaeiJy) ' y 21a. SK3NATtJRE OF FUNERAL DIRECTOR OR PERSON ACTING AS SUCH 21b. NAME AND ADDRESS OF FAWN 1 , Allnutt Funeral Service - Macy Chapel siynettre 702 13th Street l3 "�'"`� Greeley, CO 80631 r ?2a REGISTRARS SIGMA 22b DATE FILED(MentheDay,Year) k• I nets* t#2 Deputy February 19 , 2013 E re TIME 23. TEOF DEATH 24. AND TIME PRONOUNCED 25.WAS CORONER NOTIFIED? 8 : 21 Dray Year Toe ® AM O PM Om February 14 2013 8 : 21 ®AM p pm p ma ❑ Yes 181ra 1il Ill III _ TO SE COMPLETED BY SIGN IMO PHYSICIAN 10 Se COM M=SY CORD _ ---- i 26a.To pwbeat of my knordedpa.death oc et tge tlm�M �d q�+WdO ~27a. On the blasts of examination end/a knee tJgation. in my opinion death occurred a e�J w sidle time, data and pibco, and due to the c.�esa(a) and manner as stated. pim a,and Moto the emus annex as ❑ comae( ��,�,,,,,.t ° `" a Asiocrorputy coroner CC 26b. DATE S abet,Dry.Year) 27p DATE SIGNED (Month. 00y.Yam -- �� ' F 11! 2 ., ii5 -20 f3 ii Z :� O 26c. NAME, AND MALLNG ADDRE=SS OF SIGNMK3 PHYSICIAN 2k. NAME NO COUNTY I II Ce 1, .c•IT e"c.c.. 6 O 1' II V (g) to s w 2 5 1 . F;'Z 0 28. NAME OF ATTENDING PHYSICIAN OTHER THAN SIGNING PHYSICIAN 1� 1 _ Z �'�l1=EL` Y t co, c 6 3 1 f- 29. (ItAMER OF DEATH 30. DD TOBACCO USE CONTRIBUTE TO DEATH 31. F FEMALE: `. a,� V [thalami ❑Accidu* ❑suclaa O Y �Ma ❑net-Ny ❑utlaown ONo prognaltwNfinlasi ter 0 Not prepnstbuc� refine t43 dos to 1 ❑Pregnatotemootdeal* year bean ails {• s. a uni er s O Pendtnp lmetrtipaeon ❑Mt pregnant SA progra t rain 42 days a death 0 unimown ilp(egflafitl/I�1)fl01 pUtfa!r = u,a.rrarr+w 1 32a. DATE OF INJURY(rw+.O .VSa '32b TIME OF INJURY 32e.INJURY AT WORK? 32d. DESCRIBE HOW INJURY OCCURRED qa' . AM ❑ cM QM ID Y.. ❑ ►a J 32e. PLACE OF NJURY- At home.tarn.street,tectory,eioeibullArq.etc. (Speedy) 321. LOCATION INJURED(Street and Number a Rural Route Number. City. Canty. State) 33- IMMEDIATE CAUSE enter only one causepertneb(I),9i). (c). Dond ardor mode adyhq(e.p.Cardiac orRespindatyMsst)Saw ktbnatbetween onsetanddeeh 1 t4 P.41. IA) a EA'C CIA O VA - t; vt-A AL A Cc r D �N Tr Unknown (`' Condlt)Ons it any Ti 5i Wert onset snd which ow rise CUE TO OleAtt A ODt IJBiCE OF / toimmodloto LJ P.I'E1Z EZ- 6Lee Is caus e s toting the (b) I underlying cause DIJETOORAS:AOOttSB1AJBICJFOP ktlefrolbebroononsetanaded' Id: Iaat(c) .l e,v N —" PIA'®e Fes Marl-t—,re. �' i 08ran LOWER ODritlfions oonnbuti g to death est no(misted to cause in Part 1 �•A�IoI8Y �tvitt'w1R°r�'a`-eau h dhemi,rnq cws.a w.th9 Yea El* p Yes at it: El it v. 1 I. S 14 ``\..•••\‘•\\\\\\t\It DATE ISSUED JUL' 2 8 2014 /r %, %)\\\\\\\\\\`�lE G I� -` 'tnet RONALD S. HYMAN ,` •,�., en g hli, V t -- 't t ''I,,� THIS IS A TRUE CERTIFICATION OF NAME AND FACTS AS STATE REGISTRAR = ' ,Q ., �I ''4, RECORDED IN THIS OFFICE. Do not accept unless prepared on ;A, ,�-�, , �Y • * security paper with engraved border displaying the Colorado state seal e.�' - '�_ • s - ' and signature of the Registrar. PENALTY BY LAW. Section 25-2-118, It' ll' IIIEll >>,. ` ��' "'' • 0, ,;' ., Colorado Revised Statutes, 1982, if a person alters, uses, attempts to ,; * - --.. `s use or furnishes to another for deceptive use any vital statistics record. 0 0 6 8 7 1 3 0 9 • .. • - s NOT VALID IF PHOTOCOPIED. g * '1' 4/'' REV 01/07 g',. r • 7(`. ' . 1 _ / 1 .� .. ---- 961 : 17 6 - -mot' '�i � rwv��...s�slrw/ iarrLwii:;r ��atlkVw::ur :i � •'��� ��.� 1 : lie * exec rarlsT•tr t o.. . ., _utzr. Y A - i e. • ► •.: _ 7 : - 98 r . : - weii.1 i. .A !li aWat IUt, .,. --. __a 0-f:H1f il\tt �� :714.11#51 - Site specific developement plan USR Application 1. Property use will be to store and process large wood logs and stumps into chiped wood. Chipped wood will then be grinded and then hauled to our customers. 2. The ultimate goal of our wood chipping bussiness is to support the agricultural industry to supply bedding for cattle as a local natural resource. 3. Proposed wood chipping bussiness complies with the Agricultural Zone district by proving to be a valuable resource for cattle husbandry in the fashion of cattle bedding in compliance of sec.23-3-40. B, sec.23-3-40.P and sec.23-3-40.X 4. Immediate surrounding land use includes open range horse and cattle boarding and grazing. General surrounding land use includes farming of grain/feed and dairy cattle facilities. Proposed wood chipping facility is compatilbie with surrounding cattle facilities in facilitating a critical new need of an alternative natural resource for cattle bedding. 5. a. Normally 1 or 2 truck drivers to load and unload. Sometimes 3 when grinding. b. Two (2) to four (4) part time part time employees c. Daylight hours (approximatly 7am-7pm) d. Possible equipment shed e. NONE f. Enclosed semi trucks to haul in and out, dump trucks, Loader tractor, tub grinder and mule vehical for onsight overview. g. Greeley Fire Department h. None i. Sewage: Portapotty supplied by 'f F3 Pca-la a • , VA -49601° j. Items to be stored: Wood logs and stumps, wood chips, wood grinds, tractors, grinders, and hauling trucks and misc. vehicals 6. Landscape shall generally remain intact and natural with the exception of a truck loading ramp (approximatley 60' long by 3' high) and a log fence on the property line for dust/sound abatement and security. 7. Truck loading ramp will be removed and flatted to its original contour. Any road paths that may have been formed due to repeat use will be reseeded with natural grasses. 8. Storm water naturally drains off of the hill into an existing pasture. 9. Construction will take no longer than one month and will commence upon approval. 10. Storage and stockpile waste will be virtually non existant. Any waste will be recycled/composted around the ranch. 11 . Onsight improvements will include log fence, loading ramp and a possible storage building. Surrounding areas will be regularly sprayed for weeds and grazed or mowed as necessary. w : f2c" i to Groin c4. 9 , tot/y 7 / e/ *o 'er us ! 7/ er gere---/- I' c4 i4 .e r m ., I /Le I. 711. 14- ccd • 7/ -,---� to 1 r! #v cx- to ai.-a ri r!1 !v j `it l'' v J' v`,',gd / In a 6) 40111, ' nee c/ /Jr 114/ /I -- - . Qi J t 1 CO Add e 4 4 )4t_fd (t ' r w 1 ' n der - 4_7 A its w 11 9-1` 'er �t y Zgrsr h - - .. i a_r___-_21494744 1444 er Ecae4 ` . r Ise 13 revpns4E, ' r h /l5 f ks21_40.izim CL.:?Gz1 l". S * et° n. e . 5 Q4' dQt IdQ1/ 3 ©43 y/ 0O0 - -- tra $4; Ali t 'e , �1 d_a -�' PuAar cv e s i aw co n " L , T k rt tie .11 21 PO �- w �� /� u 11 1 -Ph e on piter_faalfilf- w1 /' rid &L4bt /aan?2ttd pi titm 11 f1 c r L �e 1-11e pi lt° -_-.�r�r e d _ � b 4Jra_L44p_lLaatLn 4: _ tin c n5 - h '1� -� °t £Qi.I I > s jear 9 f r - sh 4 Cirlad 41 al e )- f h t iti-±61(14 raA -G / '" daylk i_h e r i yttc ;,4 e 2 ?zzAike 1-atirei p -e C-T 0142r arra/014 .a I V .64 eN - - - - \a cO�,ti> �� , Weld County Public Works Dept. 1111 H Street ACCESS PERMIT Loevit, dr co P.O. Box 758 G�'4 ' - Greeley, CO 80632 APPLICATION FORM 4/C NISN Phone: (970)304-6496 Fax: (970)304-6497 Applicant k Property Owner (If different than Applicant) Name 11 rDoi /II c 5 Name 1 n h n H fat ,V I 5 Company 1 /5/ P Y �� UI � �� � Address -j7 � p � � •1u � 5J't�3 Address `f la? GC> ycC' "/ c it City 6rre der StateCc Zip 5W t/ City ≤-ree Lett State co Zip 1d6 ,5 '7 Phone 9 476 3 .? 1' -- 4/ 3 4' ? Business Phone q 7d - 3 96 - 91 5 / Fax N/I Fax N g E-mail A/74 E-mail milk l// 5' Y'a is 0 A 3 / 2 -1t /--1o't tion / ♦ = Existing Access A= Proposed Access / re :7i Parcel Location & Sketch The access is on WCR (' ' 4-re -ate, Nearest Intersection : WCR 3 / & WCR e S (r6i) iS >F C 9" WCR Distance from Intersection �� /4 ► , T /- Parcel Number e , ? 0 c 0 .3 0 -- U 0 & 6 / Section/Township/Range 3 3 6, u 6, lib 46./ t . J . 3~ Is there an existing access to the property? YES NO N t, 4 'etP 3 3 pru � Number of Existing Accesses 5 A-, `7 % 9 �� ,,// rore, �, r4-4Lit'5S Road Surface Type & Construction Information c% , e i, lien 4 ' 0 Veda II ge Asphalt Gravel \\ Treated Other WCR Culvert Size & Type Kri A Materials used to construct Access r 0-to tie I Construction Start Date Finish Date Proposed Use o Temporary (Tracking Pad Required)/ $75 El Single Residential/$75 ❑ Industrial/$150 o Small Commercial or Oil & Gas/$75 n Large Commercial/$150 a Subdivision/$150 o Field (Agriculture Only)/Exempt Is this access associated with a Planning Process? o No ❑ USR ❑ RE n PUD o Other Required Attached Documents - Traffic Control Plan -Certificate of Insurance - Access Pictures (From the Left, Right, & into the access) By accepting this permit, the undersigned Applicant, under penalty of perjury, verifies that they have received all pages of the permit application; 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 Applicant, if the Applicant is a corporation or other entity; and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions, all Weld County ordinances, and state laws regarding ,� - Signature K---/-te," fle:-b(!--eci Printed Name Date Approval or Denial will be issued in minimum ot 5 days. 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II • •• r • ifr Y Friday, August 01, 2014 Page 1 of 1 Tax Account Summary Account Id R0218987 Parcel Number 080533000079 Owners DAVIS WINDON H DAVIS BETSY L Address 2730 BUENA VISTA DR GREELEY, CO 80634-7717 Situs Address 5909 W C ST WE!.I) 000000000 Legal PT SE4 33-6-66 I,O1' A REC EXEMPT RE-783 (. 13R) Inquiry As Of 08/01 /2014 Payment Type O First 0 Full Total Due $0.00 Update Value Area Id Mill Levy 0685 - 0685 76.0510000 Actual Assessed AG-GRAZING LAND - 4147 24 10 FARM/RANCH RESIDENCE-IMPS - 4277 109,793 8,740 OTHER BLDGS.-AGRICULTURAL - 4279 3,731 1,080 Total Value 113,548 9,830 Taxes $747.59 'l'he amount of taxes due on this page is based on last year's property value assessment. https://www.weldtax.com/treasurer/treasurerweb/account.jsp?account=R0218987 8/1/2014 Friday, August 01, 2014 Page 1 of 1 Tax Account Summary Account Id R7792498 Parcel Number 080533000089 Owners DAVIS WINDON H DAVIS BETSY L Address 2730 W BUENA VIS'T'A DR GREELEY, CO 80634-7717 Sims Address WELD 000000000 Legal PT E2 33-6-66 PT LOT BE REC EXEMPT RE-783 LYING S OF GREELEY CANAL #3 EXC LOT A RE-783 ( 1 .5D 1.86R) Inquiry As Of 08/01 /2014 Payment "Type em First * Full Total Due $0.00 Update Value Area Id Mill Levy 0685 - 0685 76.0510000 Actual Assessed AG-GRAZING LAND - 4147 1,029 300 OTHER BLDGS.-AGRICULTURAL - 4279 32,089 9,310 Total Value 33, 118 9,610 Taxes $730.85 The amount of taxes due on this page is based on last year's property value assessment. https://www.weldtax.com/treasurer/treasurerweb/account.jsp?account=R7792498 8/1/2014
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