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Community Development Department • Planning Division Project Project Case No.*: Submittal Date*: Fee*: *To be completed by City staff Type of Request: Conceptual Review Comprehensive Plan Amendment Planned Unit Development Plan Planned Unit Development Amendment Rezoning ROW / Easement Vacation / Easement Grant Revocable Permit Site Development Plan Site Development Plan Amendment Subdivision - Final Plat / Replat Subdivision - Preliminary Plat Subdivision - Minor Plat Use by Special Review (Various) Urban Renewal Site Plan Vesting Rights Other Summary of Request: Project Address or Parcel IDs: Applicant / Developer: Company: Contact: Address: Phone: E-Mail: Property Owner: (per current title policy) Company: Contact: Address: Phone: E-Mail: Planner/Architect/Engineer: Company: Contact: Address: Phone: E-Mail: Project Information: Legal Description: (attach additional sheet if necessary) Subdivision: Lot(s): Blk(s): Proposed Subdivision Name: Est. Project Land Valuation: Est. New Construction Valuation: Development Statistics: (do not leave any blanks - use n/a) Current Zoning: Proposed Zoning: (i.e. A-1, E-1, R-1, B-1, I-1, PUD, etc.) Current Land Use: Proposed Land Use: Size of Property: Flood zone(s): Proposed residential lots: Single-family lots: Townhome units: Condo units: Apartment units: Proposed commercial: (sq.ft.) Proposed industrial: (sq.ft.) Proposed system: (check one - if applicable) City Sewer Lift Station OWTS/Septic As owner of the aforementioned property, I hereby consent to the submission of this Application for Development Review and authorize the applicant to act on my behalf with regard to this application. Owner: Signature: One DesCombes Drive • Broomfield, Colorado • 80020 • [PHONE REDACTED] • www.broomfield.org SIGN ---PAGE BREAK--- Community Development Department • Planning Division The Broomfield Municipal Code (BMC) Section 17-38-030 establishes the minimum requirements for Concept Reviews in Broomfield, please review those requirements and additional items in the checklist below. Applicants must submit the following information for the application to be deemed complete and accepted. An application missing any of the items below will be considered incomplete and cannot be processed until the missing items are provided. All information must be submitted following the specifications listed in the Submittal Guidelines document. Pre-Application Meeting - Date: Planner: (It is highly recommended to meet with a member of the Planning staff at least two weeks prior to plan submittal. Use this Pre-Application Meeting Request form and submit to [EMAIL REDACTED]. The meeting provides an opportunity for the applicant to discuss the development proposal and receive preliminary comments and direction from various city department representatives.) Fee for Processing and Noticing $200 = less than 10 acres; or $500 = more than 10 acres. Broomfield accepts payment of fees by credit card* (after submitting your application please call: [PHONE REDACTED]) or check (made payable to: The City and County of Broomfield). Please include a reference to the project name or property address in the subject line of the check if sending prior to the issuance of a case number by Broomfield. *Note that there is a processing fee of 2.65% for payments made by credit cards. APPLICATION SUBMITTAL DOCUMENTS: Submit email with a pdf of all items listed on the checklist below to [EMAIL REDACTED]. Dropbox or other file sharing tools may be used if needed. All files must be named and organized in accordance with the Submittal Guidelines. Application Packet (mm-dd-yyyy) (Development Review Application and Checklist) Items waived by city staff must include the authorizing staff member’s name next to the checkbox. Project Description (mm-dd-yyyy) - Please address the following: Land Use Data for Residential Projects - (please provide the minimum, maximum, and average lot sizes and unit sizes; density; and projected selling or rental price or price range of homes) Proposed Architecture/Urban Design concepts and Landscape concept Proposed Land Use Planning - (for PUD Plans) Any proposed Open Lands, Parks, and Trail Amenities Proposed Circulation System Proposed Phasing Proposed Sustainability Elements Concept Plan (mm-dd-yyyy) Plan sheets to be numbered and include the following information: Vicinity Map - show project site within the context of the surrounding area (example) Site Plan Show adjacent zoning and land use. One DesCombes Drive • Broomfield, Colorado • 80020 • [PHONE REDACTED] • www.broomfield.org ---PAGE BREAK--- Development Review Application Packet Concept Review Show proposed building(s), open areas, parking lots, access locations and adjacent right-of-ways. Include sidewalks, trail connections, bike paths, and streets. Color Conceptual Landscape Plan Identify type of ground cover and location of trees, shrubs (deciduous and coniferous), and flower beds. Color Building Elevations* Indicate type of material proposed for building (include base, wall, and roof). Indicate proposed colors of the above materials. Three Dimensional Perspectives* Provide two eye-level, three dimensional perspectives of the proposed development to convey the sense of scale, setbacks, etc. The perspective should be generated from still images and should show adjacent context (buildings, etc.) where applicable. *If specific building design is not prepared, applicants may provide images of similar facilities/developments as ‘inspiration’ images to provide a preview of the anticipated architectural style and materials. Public Land Dedication Table (mm-dd-yyyy) - for residential projects (example at bottom of page) Housing Division Review Form) - for residential projects (form) To be completed by Planning: INCOMPLETE APPLICATION AND APPLICANT INFORMED ON: (date) APPLICATION COMPLETE AND ACCEPTED ON: (date) City and County of Broomfield • Community Development Department • Planning Division One DesCombes Drive • Broomfield, Colorado • 80020 • [PHONE REDACTED] • www.broomfield.org