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Page 1 of 7 Temporary Use – Revised October 2025 For County Use Only Planning Department Confirmation of Current Zone District: Print Full Name PARK COUNTY APPLICATION FOR TEMPORARY USE PERMIT NON-REFUNDABLE APPLICATION FEE: $1700 FOR APPLICATIONS REQUIRING PUBLIC HEARINGS, $550 FOR ADMINISTRATIVE APPLICATIONS All applicants must attend a pre-application conference with the Park County Planning Department Staff. The Planning Director shall decide with an administrative decision if the application requires Administrative or Quasi-Judicial review and request an appropriate number of copies of the complete application for processing. If you have questions regarding this form please contact the Planning Department by phone at (719) 836-4292, or e-mail [EMAIL REDACTED], fax (719) 836-4351, or write to us at P.O. Box 1598 Fairplay, CO 80440. A. APPLICANT AND OWNERSHIP INFORMATION Applicant’s Name: Mailing Address: City: Email Address: Telephone Owner’s Mailing Telephone B. PROPERTY INFORMATION Complete Legal Description of Property Proposed for the Temporary Use Permit (attach additional page, if necessary): Street Address of Property: Property’s Total Acreage: Current Zone District of Property: ---PAGE BREAK--- Page 2 of 7 Temporary Use – Revised October 2025 Requirements for a Temporary Use Permit Article V, Division 6, Section 5-601 C. APPLICATION REQUIREMENTS 1. Application Fee. An application fee in the amount of $1700 (quasi-judicial applications) or $550 (administrative applications) must be paid at the time of submission of the application. Make the check or money order payable to: Park County Planning Department. The fee pays for the typical cost to the County to process the application. Any additional costs that may occur are the applicant’s responsibility. 2. Tax receipt-showing payment of current taxes. This can be obtained at the Park County Treasurer’s office. 3. Evidence of Ownership and Encumbrances as defined by Article IV of the Land Use Regulations. 4. A legal description of the property proposed for the Temporary Use prepared by a licensed Colorado land surveyor. 5. A list of names and mailing addresses of all owners of adjacent property to the property subject to the Temporary Use, this information is at Park County Assessor’s Office. 6. A Current Conditions map of the property proposed to be subject of the Temporary Use including the following information; a. Points of access to the property, internal roads and trails including widths, and approximate grades. The Current Conditions Map must illustrate how access is obtained from the property subject to Temporary Use to the nearest County road or highway; b. Natural features of the property subject to Temporary Use including, wetlands, riparian areas, water bodies lakes, ponds, streams, whether continuous or seasonal), and slopes greater than thirty percent c. Structures on the property subject to the Temporary Use Permit. 7. Proposed Plan for the Temporary Use Plan describing in text, mapped, and/or graphic form the following information as relevant to the proposed Temporary Use: a. Area, extent, and physical layout of all proposed Temporary Use(s); b. Traffic management plan including areas of ingress, egress, emergency vehicle access, pedestrian walkways, parking areas, and the manner proposed to manage and control the flow of vehicular and pedestrian traffic; c. All physical improvements proposed to be constructed; For County Use Only: Initial Receipt of the Required Information ---PAGE BREAK--- Page 3 of 7 Temporary Use – Revised October 2025 d. Emergency services plan which includes descriptions of the emergency (law enforcement, emergency medical, and other needed services) names, addresses, and telephone numbers of all service providers, copies of contracts for all services, description of the general qualifications of service personnel, and proposed location and layout of service areas dedicated to emergency services; e. Public service areas, including information booth(s),public restroom facilities (including number, type, and locations); f. Accommodations proposed for the needs of handicapped persons. 8. A Site Evaluation letter from Park County Environmental Health Department. 9. The property must be clearly identified with the address and posted according to the Park County address requirements (attached). Note: Refer to Park County Land Use Regulations Article V, Division 6. For County Use Only: Initial Receipt of the Required Information ---PAGE BREAK--- Page 4 of 7 Temporary Use – Revised October 2025 D. APPLICANT AND LANDOWNER SIGNATURES: The undersigned applicant and landowner hereby verify and affirm that the information contained in this application is complete and accurate. The undersigned applicant and landowner understands and acknowledges that the submission of inaccurate and incorrect information may result in the denial or rejection of the application and/or result in the invalidation of any approvals issued by Park County, Colorado. Applicant: Signed: Print name: If company, state Title/Position: E. VERIFICATION OF DATE OF DELIVERY OF APPLICATION This application was submitted to the Park County Planning Department on the following date and time: Month Day Year Payment of the Applicant Fee was made by: Personal Check Amount $ Cash Amount $ Amount $ APPLICANT MUST ATTEND THE HEARING. IF A REPRESENTATIVE ATTENDS THE HEARING ON BEHALF OF THE APPLICANT, A NOTARIZED LETTER OF CONSENT MUST ACCOMPANY THE APPLICATION. ALL PLANNING COMMISSION HEARINGS WILL BE SCHEDULED FOR THE SECOND WEDNESDAY OF EVERY MONTH. IF A QUORUM IS NOT AVAILABLE, THE HEARING WILL BE SCHEDULED THE NEXT AVAILABLE DATE. For County Use Only: Verification of Date of Delivery and County Receipt of Application Print ---PAGE BREAK--- Page 5 of 7 Temporary Use – Revised October 2025 APPENDIX C AFFIDAVIT OF UNDERSTANDING I, the undersigned applicant, hereby acknowledge and agree to the following terms and conditions related to the submission of my application to the Park County Development Services Department. 1. ACKNOWLEDGMENT OF APPENDIX C REQUIREMENTS: I understand that, pursuant to Appendix C – Development Review Fees of the Park County Land Use Regulations, all application fees are non-refundable once an application has been received by the County, regardless of its status or outcome. 2. RESPONSIBILITY FOR COMPLETENESS: I acknowledge that it is solely my responsibility to ensure that all required materials, forms, maps, and supporting documentation are submitted in full compliance with the applicable Land Use Regulations and departmental procedures. 3. INCOMPLETE, WITHDRAWN, OR DENIED APPLICATIONS: I understand that any application that is incomplete, withdrawn, or denied—whether administratively or by action of the Board of County Commissioners—shall not be eligible for reimbursement, credit, or transfer of any portion of the fee paid. Any subsequent or corrected submittal shall constitute a new application and require payment of the applicable fee as set forth in Appendix C. 4. CERTIFICATION: I affirm that I have read and fully understand this affidavit and the non- refundable nature of the application fee as described in Appendix C. I further acknowledge that this affidavit shall be retained as part of the official record of my application. Applicant Name: Mailing Address: Project Name / Type: Signature of Applicant Print Name STATE OF ) ss. COUNTY OF Acknowledged before me this day of 20__, Notary Public Witness my hand and official seal. My Commission Expires: ---PAGE BREAK--- Page 6 of 7 Temporary Use – Revised October 2025 “POSTED” ADDRESS REQUIREMENTS Park County Land Use Regulation Section 7-1207 Address Number Signage Park County requires properties undergoing development to have a permanent address posted. This address post is permanent and is not just for the inspector but is for the use of the Fire Department, Sheriff and Emergency Services. The street address numbers need to be posted on the property prior to the preliminary inspection of the driveway. Numbers shall be attached to a 4” X 4” treated wood or redwood post. The post shall be placed at the driveway no further than 5 feet from the property line. Note: The post must not be placed in the county road right-of-way. The top of the post shall be installed, in a permanent fashion, a minimum of 48 inches above the ground. If the ground is frozen, place the post in a 5 gallon bucket filled with sand or rock until the post can be permanently installed into the ground. The sign specifications are shown with the below two examples. * Note: Contact your local Fire Protection District for signage information Type of Sign specifications for numbers is attached. 1 2 3 4 *Numbers attached to both sides of post 1 2 3 4 ---PAGE BREAK--- Page 7 of 7 Temporary Use – Revised October 2025 SIGN SPECIFICATIONS Standard Size - 6” x 18” Standard Color – Green Background with White Reflective Numbers