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Application Land Use Approval Compliance

Application Land Use Approval Compliance

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Land Use Approval Compliance

Page 1

Applicant

Date:

Owner

Agent

First Name:	Last Name:
Phone:	Cell Phone:
Fax:	Email:

Address

Address:	City:
State:	Zip Code:

Is Mailing address different form address?

YesNo

Mailing Address

Address:

City:

State:

Zip Code:

Page 2

Property Subject to Application

Click here to name this section

Address:	City:
State:	Zip Code:

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:

All structures on the property)

Proposed Setbacks:

What Proposed Setbacks:

Front	Rear
Side(a)	Side(b)

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:

Page 3

Are Property owners Different form applicant?

YesNo

Property owner(s)

*If different from applicants

Owner 1

Name:	Phone:
Address:	City:
State:	Zip Code:

Owner 2

Name:	Phone:
Address:	City:
State:	Zip Code:

Proposed Needs

Description of Proposed Request (Please list each request separately [e.g. zoning compliance, land use approval compliance, etc...]:

Is this:

Complete Incomplete

Comments:

The Application Shall Include Accurately Scaled Drawings or Provide Other Information Correctly Depicting the Following:

1) Structures, Utilities &, Improvements

The location of all existing and proposed buildings, utilities and other improvements on the property.:

Is this:

Complete Incomplete

Comments:

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),

Is this:

Complete Incomplete

Comments:

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,

Is this:

Complete Incomplete

Comments:

Traffic Plan - Drawing:

4) Refuse &, Services

The location of service and refuse collection areas.

Is this:

Complete Incomplete

Comments:

Refuse &, Services - Drawing:

5) Signage

The location of all signs indicating the size, shape and height of each sign,

Is this:

Complete Incomplete

Comments:

Signage - Drawing:

6) Parkland Dedication

The area and location of parkland dedication areas or cash in lieu,

Is this:

Complete Incomplete

Comments:

Parkland Dedication - Drawing:

7) Exterior Lighting

The location and type of outdoor lighting including photometrics,

Is this:

Complete Incomplete

Comments:

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.

Is this:

Complete Incomplete

Comments:

Landscaping - Drawing:

9) Improvements Completion Date(s)

The estimated date of completion of all improvements.

Is this:

Complete Incomplete

Comments:

Improvements Completion Date(s) - Drawing:

10) Public Improvements

Utilities, street improvements, right-of-way dedications, easements etc...(May include Subdivision Improvements Agreement)

Is this:

Complete Incomplete

Comments:

Public Improvements - Drawing:

11) Referral Agency Requirements

Referral Agency Requirements:

Is this:

Complete Incomplete

Comments:

Referral Agency Requirements

Select Referral Agency:

Town Engineer	Town Attorney	Water Attorney	Other -1
Marshal	Water/Wastewater	Fire District	Other - 2
Mesa County	CDOT	Xcel Energy	Other - 3
Public Works

Explain Other -1:

Explain Other -2:

Explain Other -3:

Page 4

Additional Information

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

Authorization

Applicant Signature:

Date:

Applicant Signature:

Date:

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Application Land Use Approval Compliance

Land Use Approval Compliance

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