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Home My WebLink About20143391.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # /$ CASE # ASSIGNED APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number / 3_ L 4 - 0 S - 3._ - 0 3_ - O D 9 (12 digit nGmber - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us) Legal Description EN -zg 1. 2 8 svehAfitfl ,4Q/s , Section Oa, Townshipfl North, Range 67 West Zone District: Air , a u /}a &total Acreage: LI 1 I , Flood Plain: 4"/A , Geological Hazard: At/MR , Airport Overlay District: /Ul 4 FEE OWNER(S) OF THE PROPERTY: Name_ tJ Cst N9 ct 4- LAID AL 34 Kee- Work Phone # Home Phone # 3 O3. 633 , 21,37 Email) or iej s'Bc2gM s r c , Cz IA Address: 7/ Sic Map (e T Address. City/State/Zip Code Long M ►i r CO g b s-oz-j 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 AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) Name Sid The 4j" % LvG Work Phone # Home Phone # Email Address: Address: City/State/Zip Code PROPOSED USE. 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 inc uded indicating that the signatory has to legal authority to si n for the corporation . (7 z i /c? i&/ Sig/ ture: Witmer or Authorized Agent Dat i Signature: Owner or Authorized Agent Date SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) QUESTIONNAIRE The following questions are to be answered and submitted as part of the USR application. If a question does not pertain to your use, please respond with "not applicable", with an explanation as to why the question is not applicable. 1 . Explain, in detail, the proposed se of the propertyy. % mad 'n � ' � ft? We� �� GtlfcRS a.pproIed b9 �»Ed,c4t,/ hardy h r Panel Wend Tr 4 `7'o SP (t -r+�e i) rdp er4 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan. Q nile -Pa ten 4 5 reside Ace is! Can sts1- i oJgrit Nut . . 3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) and the zone district in which it is located. 41 lento a. Second death nog ith -K, a n o f/row &iSQ 0..( toW1 kyChap-Ten 2 4. What type of uses surround the site (explain how the proposed use is consistent and compatible with surrounding land uses). ieS,4e 41 , ( . 5. Describe, in detail, the following: a. Number of people who will use this site Ri..w+:. (I `"O.a+ lali Y 5 'e preiP b. Number of employees proposed to be employed at this site Able c. Hours of operation /lb d. Type and number of structures to be erected (built) on this site ,az-4 E%-(5121761gni " "dins Alc-rk frig prep 45Qci e. Type and number of animals, if any, to be on this site /ya y,,to_0-.{,, t /L, re s-tcC Per CO cle- f. Kind of vehicles (type, size, weight) that will access this site and how often Per A g. Who will provide fire protection to the site /ft. Ur etc-) - ire d epz n'lnetrt h. Water source on the property (both domestic and irrigation) L'en ral L ge U Pa _,w' t y/ L`'e 1/ {�w t tcidcTl on . I , Sewage disposal system on the property (existing and proposed) gep ' t c perwt; f-1 / '77C' oso / j. If storage or warehousing is proposed, what type of items will be stored At/A- 6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted as a landscape plan map as part of the application submittal. ,Ulm.. 7 Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs. A174- 8. Explain how the storm water drainage will be handled on the site. Shear p-I c ''`-' accrt5s Sr re, 9. Explain how long it will take to construct this site and when construction and landscaping is scheduled to begin. 4J J 4 10. Explain where storage and/or stockpile of wastes will occur on this site. /V f�} 11 . Please fist all proposed on-site and off-site improvements associated with the use (example: landscaping, fencing, drainage, turn lanes, etc.) and a timeline of when you will have each one of the improvements completed . N/ 10-C#C11, &44,Vtilj Lyaa111.0 , ,PlekA14i LfAet &Lett Sate / 4E: bale 10Ti CLeri 0117aW &Sic ct 944 Lo-c_ 10102:c, bi:ea 2_0 --ts-r÷ ,Y,-`µ-CLwi ?wv-n_c7/ C.e.w_t2e 14t-t7�xe �Cs-2� ho,�-,.-e. �Q. r�v2- r.�,3/4vfetAni-e_ rl&tGsc1a��c cU-, UAld ViLfl-e ,ace / zew44t raete illac,_€ gi,vtar A)00,4„.„ jr,a.„L -7-44,st Ae-4„..6„, i' —' -e- /' ' -' 27 tic !997 ,rye a-, -4• Art41 dreid fres'3 antn -6, /Dr_ ugk ap ii,,soceyet:An_ frc_�` 7 / S (o tMtt. • fit tietn a - Q4 _4-4, " 7,7• 2 &-t C cr Z ' -- �'� R� � �% -�.. •le : Vi Lot-z eL ,= c ,_ cf 1 • I (Vet aldt< eSts)Obtit fr\a-inatni-1,41.>& Mtrt 9,4 r--f PAAttly , ° -3 - �'�7- Ili /vf • u1,97-a-pot aztd I V tie( ••?ftle Ili • • zatebanyerl • . , t . . , • . $ 1 , 1 ` . . . • r 1 . , • • • • 1 I / . 6 rte •� t : Ph1cwo1ePt.t ..q , " ' ; c,? P.O. Box 758 �" ACCESS PERMIT ei ��'y.• h -SA; Greeley, CO 80632 K. Nj\Iv Phone: (970)304-6496 APPLICATION FORM Fax: (970)304-6497 - Applicant �j Property Owner (If different than Applicant) Name 4OSE b. qt- ,L 1h , � S_€ ft. Name Company ---_ { Address Address is/sz, ,�4Ap k v - City_ State �/��l _ Lip City_ —�Z ? State Cam O ,t &La / Phone Business Phone ` - - Fax Fax / E-mail E-mail gibO r `e Qp.,at I, 1fl A = Existing--�� J Access Qr- Proposed Access Parcel Location & Sketch The access is on WCRS9 /es7 - Nearest Intersection: WCR ____15-- & WCR - - � - -.- A4'3P/en - ---.__ Distance from Intersection _ - C Parcel Number _ /3 /JJp;oo, / ! Section/Township/Range secQ,� 47; J -1 t M i cc P414,1 �� Is there an existing access to the property? "S' ` YES NO N � 1 Number of Existing Accesses Z 6 Road Surface Type & Construction Information ` Asphalt Gravel4.__ Treated Other _I v I - WCR 2.2- - Culvert Size & Type A/D - ~ Materials used to construct Access Alin Construction Start Date _ — Finish Date Proposed Use _ o Temporary (Tracking Pad Required)/ $75 Zilit( fo Single Residential/$75 o Industrial/$150 o Small Commercial or Oil & Gas/$75 /$ 50 0Large Commercial/$150 o Subdivision/$150 n Field (Agriculture Only)/Exempt Is this access associated with a Planning Process? ❑ No o USR o RE ci PUD o Other_ Required Attached Documents - Traffic Control Plan -Certificate of insurance - Access Pictures (From the Left,t, Right, & into the access) By accepting this permit, the undersigned Applicant, under penalty of perjury, verifies that they have received all application; they have read and understand all of the permit requirements and provisions set forth on all pages; that ha tth y have the es of the it 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 facilities construction, Signature _ � K-�t f Prince rr ` 4 ' d Na d eh�y� Name JO Cep P it A ��Kt-/� Date ate o g/E? t I/ VApproval or Denipl will be issued in minimum of 5 days. Approved by___ Revised Date c/29/3o • - • • • ; • + ?... • . • or • • - liff / i . s•' •. ,., s.A. , i i • ��Th t • • t - - - I ',a K • _ . e. ,••, , 1 •,rs -:1�� -'a, • i% • • 4,, • . �`0'.T� 'fl i • •, • A • r• • I • - 1V I . ' • Iv_• . I Y •, • t ♦ ! 4- . • . • i t tb 4 = mo t. �f•�' ' � t ' ,�' �i, .k „At i' !Z±?_ 1 • w.jtr}' . -,}• t I • I• •• (f`- -\I IL tat i .i. * •I• *�` /J•_ . ~�R . IR^ * -da ;.I 4 * 4 ...„ . . ... , . , - • • ea • III it • •• c. • � . ft . �. :l J ,1 • a ' lar isp , �i e _aw, « . _ • 1/4 • . T • 1 , ...�: �, a ,r • ,*- . • • 4-.�. • ,�: ti - Nil `�. • H _ li . T ' I`0• • • • I. • ir 44111111 • • • • '. 1• ,.o AI a I • 1 s. • . . Ill. I �Id,ifP um ,Mel Ms _ r er . i • . •;1 A • • .i. sr �.- $ , • Fr Weld County Government ism =-� .- _ Department of Planning Services 1 li rj th , 1555 N17th Ave r f Greeley, CO 80631 _ " " (970) 353-6100 ELECTRICAL CERTIFICATION V� b -C— 11 ��' masterelectrician, u on on-site I, � � �. � , a Colorado licensed based p my inspection, review of plans and/or calculations submitted, or to be submitted for a building permit, and my own calculations, hereby certify that the electrical system for the structure intended for use as (describe structure): located at (provide job site address) : 7/SW, /rte lyo gt kart ro LOr s cbvy— Get Has been constructed in conformance with all applicable electrical codes adopted by v Weld County; or /1/OVlf Enclosed is a list of corrections that need to be completed before the electrical system can comply with all applicable electrical codes adopted by Weld County l r 4J r 171 C_ Name of Electrical Contractor Y7' / Address , 5 Cr ' /1) 6 G_(n. U \L-2 -\,( City k ‘/ Q fri C\ -(- State C�/,l& Zip Code &' C © I Phone Number r Y v3 77‘ _ 7 '7-77-- � /� Electrical Contractor License number "7 - 3 ? - VI Lf 43 Page 5 Weld County Government 'x°' Department of Planning Services I TA r = 1555 N17th Ave r Greeley, CO 80631 :C O L v , (970) 353-6100 rte. j c PLUMBING CERTIFICATION I r &/rc7 / > L / a Colorado licensed plumbing contractor, based upon my on-site inspection, review of plans agd/or calculations submitted, or to be submitted for a building permit, and my own calculations, hereby certify that Ih plumbing system for the structure intended for use as (describe structure): nit kCProw•- S . 06u-r4 located at (provide job site address): '7 / 5G Jt4t.pIc 5/, let-. ) frerot fiv 3a y ( Has been constructed in conformance with all applicable plumbing codes of Weld County; or Enclosed is a list of corrections that need to be completed before the plumbing can comply with all applicable plumbing codes of Weld County. Name of Plumbing Contractor / µ- htM ) G Address `) ) /7 o r 5 City i t State t O _ Zip Code SO Phone NuAer 3D -- 7 76 - op ? , Plumbing Contractor License number Pc1 ^' t2 pl O- Page 4 Hello