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I PRELIMINARY PLAN/PUP REVIEW Application Form Community DevelopmentDepartment A complete application must be received 30 days prior to the Planning Commission meeting. Name of Date Filed Amount Paid File Number Fax Email Date of First Pre-Application Conference Fee Paid Date of Second Pre-Application Conference Fee Paid Required information to be submitted with this form: (refer to Development and Zoning Code for complete listing) I. Include all information required for the sketch plan in more detailed form, together with the following addional information: a. Preliminary information sufficient to indicate that the final plat will meet the requirements established pursuant to C.R.S38-51-102, Land Survey Plat. b. Proposed final covenants, homeowner association articles of incorporation, aid bylaws. c. Complete water rights dedication plan as required by the City. d. Numerical data providing numbers and percentages of dwelling units and density, nonresidential area, open space, parking, etc. 2. Vicinity map 1’ to 500 extending at least 500’ beyond the property boundaries showing the following: a. Location of existing water, sewer, and public utility lines, and the location of proposed extensions. b. Existing street locations and right-of-way widths. c. Existing zoning and zoning district boundaries for the subdivision and adjacent to the proposed subdivisionsand land uses of adjacent properties: 3. Preliminary plan including the following information (20 copies of plan(s) folded). a. Proposed name of subdivision/PUD. b. Location and dimensions of existing section lines, streets, alleys, easements, water courses, public utilities, and other information applicable to this property requested by thePlanning Department. c. Location and dimensions of all proposed streets (including proposed naiies), alleys, easements, lot lines, and areas reserved for public lands and relationship to existing public right-of-way. d. Date prepared, scale (multiple of 10) north arrow. e. Contours of the land at five foot intervals, ten foot intervals on rugged topgraphy, and unique natural features. f. Verification of areas subject to flooding or geologic subsidence. If applicable, thdocation of the 100 year flood plainand floodway. g. General location, floor area, heights, and types of all existing and proposd land uses. h. Intersecting property lines and names and address of the owners of the owners of recorbf all parcels adjacent to theproposed subdivision. i. Lot and Block layout of the proposed subdivision/PUD. j. Preliminary plan for storm drainage and water and sewer service, utility plan, street profiles, etc. See Code. k. A Community Housing Plan, if applicable. I. A Residential Visitability Plan, if applicable. m. A complete landscaping and irrigation plan in compliance with Code Section 2619.5, as amended. Landscape plans for both public and/or private projects, except for single-family and multi-family with 4 units or less require the stamp of a licensed landscape architect as required by C.R.S. Section 12-45-101. 4. Submission shall include both a JPEG image and an 11” x 17” copy of each drawing. 5. A public hearing fee shall be included with all applications requiring a public hearing. This fee does not include the ost of publishing public notices or postage. 6. Mailing labels and funds for first class postage for all property owners within750’ of the boundaries of the propertyand a list ofthose owners. 7. Certification of Mineral Interest Notice completed. (Seepage 2 of this application.) 8. Copies of the neighborhood meeting sign-in sheets as well as comment cards received by the applicant at the neighborhood meeting shall be submitted per Section 26-16-3(b). Pre-application conference(s) with the planning director or director’s representative is required prior to submitting an applicaon. Fees associated with the pre-application conference must be paid at the time of the conference. A preliminary plan requhes a meeting with the Planning Commission only. Planning Commissionapproval is valid for 90 days, and approval is required prior to submittal of a final plan. I hereby certify that I am the legal owner(s) of record of the property being considered for preliminary plat review and that the information contained herein is true and accurate to the best of my knowledge. The Cit 3 will post your property and send letters to property owners within750 feet of your property ten (10) days prior to the scheduled neting dates. The applicant or a duly authorized representative must be present at any and all public meetings to answer any questions raid by the Planning Commission or the general public Owner/Applicant Signature(s) Date Cost of Legal Notice in the Newspaper are paid by the Applicant. ---PAGE BREAK--- CERTIFICATION OF NOTICE PURSUANT TO C.R.S. 24-65.5-103 The undersigned do(es) hereby certify that an examination of the records in the office of the County Clerk and Recorder was made in accordance with C.R.S. 24-65.5-103 et seq. and (check applicable box and fill in the information) U Thereafter, on 201_, which is not less than thirty (30) days before the date scheduled for the initial public hearing, or, which is not less than thirty (30) days before the date of submittal of an application for staff action, on the application for the development known as , notice was sent, by first class mail, to the below-named mineral right owner(s) as listed in the records of the County Clerk and Recorder, containing the time and place of the initial public hearing, or the date of submittal of an application for staff action and contact information of the Community Development Department, the nature of the hearing or staff action, the location and legal description of the property that is the subject of the hearing or staff action, and the name ofthe applicant(s). Listing of Mineral Right Owner(s): Name(s): Address: U Such records do not identify any mineral right owners. Development Applicant’s Signature Surface Owner’s Signature Print Name Acknowledgment State of Colorado) County ) The foregoing instrument was acknowledged before me this — day of , 201, A.D. by as Applicant of the property described hereon. Witness my hand and official seal. My commission expires Print Name Acknowledgment State of Colorado) County The foregoing instrument was acknowledged before me this — day of , 201, A.D. by as Owner of the property described hereon. Witness my hand and official seal. My commission expires Notary Public Notary Public FAILURE TO PROVIDE THIS CERTIFICATION, INDICATING COMPLIANCE WITH C.R.S. 24-65.5-103 ETSEQ., IS LIKELY TO RESULT IN A CONTINUANCE OF THE HEARING OR STAFF ACTION. ---PAGE BREAK--- SKETCH PLAN and PRELIMINARY PLAN (Section 26-16-4) 14 clays Written . / mendtløn City Council of \ Planning Commission Action Written Appeal to City Council Notes: Shaded boxes represent tasks completed by City staff. Squares represent public meetings or hearings. Sketch Pan approval valid for 2 years (unless extended by Planning Commission) Preliminary Plan valid for 90 days (unless extended by Planning Commission or an approved phasing plan) Estimated process time from application submittal * To Planning Commission - 30 days * To City Council - 60 to 120 days