Conditional Use Form - Timnath, Colorado

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Case#: CU-_____-_____
CONDITIONAL USE
Proj. Name: _________________
(Fee Agreement)
Planning Department
970-224-3211
Permits for Oil and Gas Drilling and Production require a different Technical Criteria Form.
APP.
TOWN
Pre-Application Conference, optional
Application Fee;
CK#: _________________; Amt: $_________________
Signed Fee Agreement;
CK#: _________________; Amt: $_________________
Poudre Fire Authority Development Review Fee of $_____.__
Current Title Commitment
Dated less than 30 days from date of application submittal.
Written statement and any graphics necessary
Describe and illustrate precise nature of proposed use, its operating characteristics and how all review criteria
(Land Use Code 16-3-7.C.) have been satisfied.
Proposed Site Development Map
_ Topography .................................................................................................................................................................
_
_ Building locations .......................................................................................................................................................
_
_ Parking ........................................................................................................................................................................
_
_ Traffic circulation ........................................................................................................................................................
_
_ Usable open space .......................................................................................................................................................
_
_ Landscaped area ..........................................................................................................................................................
_
_ Utilities and Drainage features ....................................................................................................................................
_
Preliminary building plans and elevations
Indicate the dimensions, general appearance and scale of all buildings.
Surrounding and Interested Property Ownership Report
Current list (at most 30 days old) of names and addresses of surrounding property owners (within 300 ft. of the
property), mineral interest owners of record, mineral and oil and gas lessees for the property and appropriate
ditch companies. Certification that report is complete and accurate.
Public Hearing Notification Envelopes
1 set of stamped, addressed No. 10 envelopes with the Town’s address as the return address. Address envelopes
to surrounding property owners within 300 ft. of the property, mineral interest owners of record, mineral and oil
and gas lessees, and appropriate referral agencies.
Additional materials, if applicable
List any additional materials the Town requests or Applicant includes.
__________________________________
__________________________________
__________________________________
__________________________________
Submit documents above with a copy of this form and a completed Land Use Application.
Date Submitted to Town: _____________
Application Certification of Completion
Town must certify application is complete and in compliance with all submittal requirements OR reject it as
incomplete and notify Applicant of any deficiencies. If rejected, Staff must prepare a report identifying any
issues of concern that must be addressed and forward it to the Applicant. All documents requiring a signature
must be signed in
BLUE
INK.
Address Staff Comments (Submit to Town Clerk)
Letter explaining how all of the comments have been addressed ...............................................................................
_
_
Revised maps and other documents ...........................................................................................................................
_
_
File Location: L:\OFFICE INFORMATION\TEMPLATES\APPLICATIONS\WORD DOCUMENT\CONDITIONAL USE TECH
FORM.DOC
Last Saved: 7/11/2011 5:41 PM
Page: 1 of 2

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