Date:
First Name:
Last Name:
Phone:
Cell Phone:
Fax:
Email:
Address
Address:
City:
State:
Zip Code:
Is Mailing address different form address?
Mailing Address
Click here to name this section
Parcel #:
Practical Property Description:
Acreage or Square Feet Parcel:
Existing Zoning:
Present Use of Property:
Proposed Use of Property:
Proposed Floor Area Ratio:
Proposed Building Height:
Proposed Lot Coverage:
Proposed Setbacks:
What Proposed Setbacks:
Explain what side of the house side (a) is on- North, South, West, East:
Explain what side of the house side (b) is on- North, South, West, East:
Are Property owners Different form applicant?
Owner 1
Name:
Owner 2
Description of Proposed Request (Please list each request separately [e.g. zoning compliance, land use approval compliance, etc...]:
Is this:
Comments:
1) Structures, Utilities &, Improvements
The location of all existing and proposed buildings, utilities and other improvements on the property.:
Structures, Utilities &, Improvements - Drawing:
2) Parking
The location and number of parking spaces for off-street parking and loading areas and the finished surface material of the parking areas (e.g., gravel, asphalt),
Parking - Drawing:
3) Traffic Plan
A traffic circulation plan showing the direction of traffic flows and indicating the locations of entries and exits of parking lots and the relationships of parking lots to entrances and exits of any buildings,
Traffic Plan - Drawing:
4) Refuse &, Services
The location of service and refuse collection areas.
Refuse &, Services - Drawing:
5) Signage
The location of all signs indicating the size, shape and height of each sign,
Signage - Drawing:
6) Parkland Dedication
The area and location of parkland dedication areas or cash in lieu,
Parkland Dedication - Drawing:
7) Exterior Lighting
The location and type of outdoor lighting including photometrics,
Exterior Lighting - Drawing:
8) Landscaping
Landscaping plan showing the location, type, size, and quantity of plant materials, method of maintenance, irrigation systems, fencing and other features.
Landscaping - Drawing:
9) Improvements Completion Date(s)
The estimated date of completion of all improvements.
Improvements Completion Date(s) - Drawing:
10) Public Improvements
Utilities, street improvements, right-of-way dedications, easements etc...(May include Subdivision Improvements Agreement)
Public Improvements - Drawing:
11) Referral Agency Requirements
Referral Agency Requirements:
Referral Agency Requirements
Select Referral Agency:
Explain Other -1:
Explain Other -2:
Explain Other -3:
12) Impact Fees - Traffic Impact fee and any other required:
13) Tap Fees - Water &, Sewer Tap Fees
14) Water Rights Dedication - Description of water rights dedication or cash in lieu
15) Architectural Design Compliance - Building elevations and other information showing compliance with architectural design standards
16) Engineering Design Compliance - Engineered drawings demonstrating compliance with DeBeque engineering design requirements and DeBeque Public Works Design Standards
17) Trustee Approval Conditions Compliance - Attach all conditions of approval required by the Town of DeBeque in association with approvals granted for the subject property and demonstrate compliance thereto
18) Payment of Development Review Fees - Show verification of payment of all fees associated with application approval including, but not limited to, application fees, consulting fees or others
19) Payment of Use Tax - Show verification of payment of all use taxes associated with construction. Fees are payable at the time of building permit issuance
Applicant Signature:
Need assistance with this form?
