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Home My WebLink About20143485.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # 1$ CASE # ASSIGNED: i .) '151/41. I COSS APPLICATION RECEIVED BY PLANNER ASSIGNED: C . C Ani-A frl A P Parcel Number - pZ 3 - o - C) / - t (12 digit number L04 - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us)Legal Description 3 Rlock ck , Sectiono 3, Township I AI North, Range (v West A CvurN-n/ 5-f .4 e5 ., 1 A , 11Zone District: , Total Acreage: 5Z' . 7 '4 , Flood Plain: Ni , Geological Hazard: /OJA, Airport Overlay District: pt 1\ FEE OWNER(S) OF THE PROPERTY: 11 Name: Afl4kion / � MccnctvjWork Phone # t U c omeC�x1Q O V(.c.1 Phione # 3 - V5 7 -'I 3d ? Email I rl Address: P D pox `C ! `� rJo i (,Jva )PC, Address: ,9 Ec/ U 1'Vl 6 +thauo 5 40 City/State/Zip Code FnA-A- LCO Sb b pZJ 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: - ,<< pC,1/40 Work Phone # Home Phone # Email Address: Address: City/State/Zip Code PROPOSED USE: NOM& rieffie (10mwllve ( 01 ycaJi(Lkc 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 o ners must b . 4 cluded with the application. If a corporation is the fee owner, notarized evidence must be inc d indicatin tat the ignatory has to legal uthority to si ' n for the corporation . • - c/11 /1" 0470 geS-- / LI Signature: Owner or Authorized Agent Date Signature: 0 n r 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. G1 \I Explain, in detail, the proposed use of the property. 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan. (/I 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. 4. What type of uses surround the site (explain how the proposed use is consistent and compatible with surrounding land uses). 5. Describe, in detail, the following: a. Number of people who will use this site Number of employees proposed to be employed at this site P Hours of operation 51! Type and number of structures to be erected (built) on this site ,e. Type and number of animals, if any, to be on this site f. Kind of vehicles (type, size, weight) that will access this site and how often g. Who will provide fire protection to the site Water source on the property (both domestic and irrigation) < < , r I Sewage disposal system on the property (existing and proposed) p r' -} If storage or warehousing is proposed, what type of items will be stored 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. 7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs. Th )r8 Explain how the storm water drainage will be handled on the site. Explain how long it will take to construct this site and when construction and landscaping is scheduled to begin. 10. Explain where storage and/or stockpile of wastes will occur on this site. 11 . Please list 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. 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ON pRoeft a tea)?A gi/n 5haeleak5 r,cocL its weft otios attitozel youch yv comes). . had paz ctwal rnswi fto-inij aent-40 YOD imam. cut.1 CLetyytp It hex 6c-2 uil- - Mon hip urn ej? .atcailA cam_ moat how At- mse, -ruku re * era-v.7qt ;SA- r-- - \AP tfrese-T_o_t\-) c________--0 6110! 04, i cilace ri oAdi ecni *1-1,ji L2)141 ‘ti\61,.., DA, -- t(a 75).# D t oick4cy'3 ) , ilopt .. ___________________ ____, -,,.- i ____,.„.,.. _ Ain, epA r°Cx 1 1) --11"7---- ( 4(-I°rag') s aid -1 6 , ( VII] IL---,. kr (Nieuilitfil--- ___) ii=.> ci p 0-4°' 09) ---- $ 4---) 1 ISC-jt\c) t . taAlPlice S i rCi- t - I‘ 1 4,,xtuy e 1 yv -vu5.1).0 1 ( i I A I-vatic , I P '° VA12aPt . �p C 0 04/A /( Weld County Public Works Dept. . 4 - I" -4 1111 H Street ACCESS PERMIT -o rs f, vj P.O. Box 758 GAV evi c- Greeley, Co 80632 APPLICATION FORM � /C NJ ° Phone: (970)304-6496 Fax: (970)304-6497 Applicant Property Owner (If different than Applicant) Name Av4icnu1 �� C 6 ��! Name a e at l f Company Address Address a2 ( 0 11(Z-4 -Iie.10s City State Zip City f Lot 1'l State CO Zip 0 621 Phone Business Phone 3 () 3 - ci (1S- — 0 ? 19 Fax Fax v3 4; 5q — '1<04 E-mail E-mail ♦ = Existing Access A= Proposed Access Parcel Location & Sketch The access is on WCR Inca-thews Poe' Nearest Intersection: WCR X & WCR WCR Distance from Intersection 1 I1 -7/ 23 2. O1 003 ` . Parcel Number =' ' `-,,r . s) Section/Township/Range 2 3 1 eV /.O(Ov,./ - -' ' 3 - r Is there an existing access to the property? YES NO O l; Number of[Existing Accesses • Road Surface Type & Construction Information Asphalt , Gravel X Treated Other WCR 4; Culvert Size & Type Materials used to construct Access Construction Start Date Finish Date Proposed Use Temporary (Tracking Pad Required)/ $75 .Single Residential/$75 n Industrial/$150 nSmall Commercial or Oil & Gas/$75 nLarge Commercial/$150 nSubdivision/$150 nField (Agriculture Only)/Exempt Is this access associated with a Planning Process? No • USR IN RE IMPUD 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 bou4 b nd agrees to c mpl ith all said permit requirements and provisions, all Weld County ordinances, and state laws regarding facilities c struction. ,---7 ` Signature MIi Printed Name rte. l' \. r (Date 8., 5--vti Approval or Denial 'AI be issued in minimum of 5 days. Approved by Revised Date 6/29/10 2 nn Weld County Government Department of Planning Services it r '• — 1555 N17th Ave r P Greeley, CO 80631 (970) 353-6100 AGREEMENT CONCERNING EXISTING "AS BUILT" CONSTRUCTION Building Permit Number: Date Received: By: , as owner of record of the above property, hereby request a permit for and final inspection of the installation or construction work described in the application for Building Permit Number , which work was completed or covered without obtaining a permit and/or without required inspections during construction. I understand and agree the Weld County Department of Planning Services, Building Inspection Division will perform a final inspection based on observable conditions and non-destructive methods to assess code compliance of such work, some or all of which may be concealed by permanent construction and finish material. I do not wish to remove permanent construction and finish material as the removal of such work would be destructive to the subject structure. I further understand it may not be practical or possible for Weld County to verify full compliance with Weld County Building Codes without removal of such permanent construction and finish material. I understand if the Weld County Building Inspector discovers any violations of the County codes during the final inspection related to electrical, health and safety issues the violations must be resolved. I further understand upon resolution of all violations, if any, and approval of the final inspection, an "As-Built'Certificate of Observable Compliance"will be issued. Signature Date • Engineer's letter stating foundation and other structural work meets minimum building code requirements. Description of work: Electrical contractor's letter stating observable work meets minimum code requirements. Description of work: Plumbing contractor's letter stating observable work meets minimum code requirements. Description of work: Mechanical contractor's letter stating observable work meets minimum code requirements. Description of work: • Required owner's letter stating all construction was completed pursuant to n;inirtuti cgc[e requirements and the approved set of plans, if any. Description of work: Energy Code Compliance document(if applicable) Fire District notification letter This application shall be attached to and form part of Weld County Building Department regular building permits application. Page 1 nn ,; Weld County Government inorraFuji= iDepartment of Planning Services 1555 N 17th Ave Greeley, CO 80631 Wet- (970) 353-6100 ENGINEER CERTIFICATION I, (IX aic. ,, 04oa�r , a certified Colorado professional engineer with expertise in "structural design", based upon my on-site inspection, review of plans and/or calculations submitted, or to be submitted, and my own calculations, hereby certify that the certain structure intended for use as (describe structure): A„r /4/d,i-'o.4-'a.- / ante m.- 'I-m-46 ,r. 11-e located at(job site address): gi a A A r%,b<r'✓c 4i', r0-,y L a,rv.v,/,'C, has been constructed in conformance with all plans and specifications there for and in conformance with all applicable building codes of Weld County. -OR- Enclosed are lists of corrections that need to be completed before the structure can comply with all applicable building codes of Weld County. Name of Engineer and/or Firm Address City State Zip Code Phone Number /a,, ,/ BY Date In —N---- /-¢ r0O.1) [ICS,``.,, ENGINEER SEAL /./O°.r• ft/'R'It '''a rn: t b 233�41--•.' ,1, ''.AF. &i.' Page 2 Hello