ZONING PERMIT MOBILE HOME (ZPMH) SUBMITTAL CHECKLIST

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1 ZONING PERMIT MOBILE HOME (ZPMH) SUBMITTAL CHECKLIST (A PRINCIPLE DWELLING UNIT, TEMPORARY USE DURING CONSTRUCTION OF RESIDENCE, TEMPORARY STORAGE (UNLESS OTHERWISE SPECIFIED), TEMPORARY ACCESSORY FARM USE, TEMPORARY ACCESSORY USE DURING MEDICAL HARDSHIP, TEMPORARY ACCESSORY USE AS AN OFFICE AND MOBILE HOMES IN THE C (COMMERCIAL) OR I (INDUSTRIAL) ZONE DISTRICT) APPLICATION REQUIREMENTS: One original application form One original drawing. A scaled drawing of the property (1"=50') needs to show the proposed location of the mobile home. Include distances between the property lot lines and proposed mobile home and all other existing structures on the property; access to the property (indicate whether it is existing or proposed); County, State, or Federal road rights-of-way; amount of road frontages; location and measurements of any easements; and any proposed structures to be located on the property. Copy of a document showing evidence of adequate water supply (e.g. well permit or letter from water district). This is not required if applying for temporary storage of a mobile home. Copy of a document showing evidence of adequate methods of sewage disposal (e.g. septic permit). This is not required if applying for temporary storage of a mobile home. One copy of deed or legal instrument identifying applicant's interest in the property. Copy of recorded instruments may be obtained from Weld County Clerk and Recorder's Office or a title or abstract company. One copy of affidavit and certified list of the names, addresses and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of property (the surface estate) within 500 feet of property being considered. This list shall be compiled from the records of the Weld County Assessor, the Weld County Website, or a person qualified to do the task, and shall be current as of a date no more than thirty (30) days prior to the date the application is submitted to the Department of Planning Services. One copy of the completed Application for a Mobile Home Building Permit Application fee An additional investigation fee shall be added to the cost of the permit application when specific land, uses, building, manufactured homes, mobile homes, and structures that require a permit by the Weld County Code are located, moved, operated, or constructed prior to obtaining a permit. The investigation fee shall be fifty percent of the fee established by separate action by the Board of County Commissioners for landuse applications. The payment of such investigation fee shall not relieve any persons from fully complying with the requirements of the Weld County Code, nor from any other penalties. The applicant shall submit 1 packet containing one original of all of the above. The packet shall be bound with either paper clips or binder clips (no substitutes). Applications bound in any other fashion may be returned to the applicant without review. The Department of Planning Services may request additional information, application packets and/or fees that will aid in the review of the Zoning Permit application. Updated 10/2017

2 ZPMH ADDITIONAL REQUIREMENTS (IF APPLICABLE): Temporary Use During Construction of Residence: Application for a Building Permit for the Permanent Dwelling Unit on the same lot Temporary Storage: Detailed statement demonstrating that no reasonable alternative exists to the temporary storage of the mobile home on the land involved (as per Sec C) Temporary Accessory Farm Use: Questionnaire/certification on page ten Evidence of tax records (W-2 forms) or employment agreements Temporary Accessory Use during Medical Hardship: Brief statement of why the medical hardship is necessary for a second dwelling on property Documentation of the medical hardship shall be established in a letter from the subject s medical doctor or other evidence deemed suitable by the Department of Planning Services. The letter shall be submitted as a part of the zoning permit application and shall verify that the subject is physically impaired and requires full-time care. Temporary Accessory Use of a Manufactured Structure used for Office/Construction: Detailed statement demonstrating that no reasonable alternative is available to the applicant for office use, and the number of employees that will occupy the office. Mobile Homes in the C (Commercial) or I (Industrial) Zone District: Detailed statement of why the mobile home is necessary for the effective and economic operation of the business, commercial or industrial activity

3 ZONING PERMIT MOBILE HOME (ZPMH) PROCEDURAL GUIDE APPLICATION FEE HEARINGS/MEETINGS PROCESSING TIME $ Administrative Staff Review or Board of County Commissioners 60 days $75.00 Administrative Review for Temporary Storage $ Investigation Fee, (if required) Fees are non-refundable and due at time of application submittal. Fees are set by the Board of County Commissioners by Resolution. County Staff is not authorized to negotiate fees and cannot, under any circumstance, change, reduce, or amend the fees set forth in the Weld County Planning Fee Schedule. PURPOSE The purpose of this packet is to provide applicants with information regarding the Weld County Zoning Permit for a Mobile Home process. It is the responsibility of the applicant to be knowledgeable of the specific requirements of the ZPMH application process. Specific requirements regarding Zoning Permits may be found in Section , of the Weld County Code. GENERAL INFORMATION BUILDING PERMITS Building permits are required for all mobile homes in addition to the Zoning Permit for Mobile Homes. The building permit may be obtained from the Building Inspection Department, at 1555 N. 17 th Avenue, Greeley, Colorado 80631, Phone x3540. Or online at The permit will be released only after approval of the Zoning Permit. MOBILE HOME A transportable STRUCTURE which as originally built exceeds either eight feet in width or thirty-two feet in length, was originally built on a chassis and was originally designed to be used as a year-round DWELLING UNIT with or without a permanent foundation. A SINGLE-FAMILY DWELLING which is certified pursuant to the National Manufactured Housing Construction and Safety Standards Act of 1974," 42 U.S.C et seq., as amended, but does not meet all of the other provisions of the definition of MANUFACTURED HOME is considered to be a MOBILE HOME. A MOBILE HOME or MANUFACTURED HOME shall not be converted to any USE other than a SINGLE FAMILY DWELLING and shall not be allowed to deteriorate to the condition of a DERELICT MOBILE HOME. A Mobile Home or Manufactured Home, Converted or in its Original Condition, shall not be utilized as an AGRICULTURALLY EXEMPT BUILDING or as a Temporary Structure for Storage. MANUFACTURED STRUCTURE: Any factory-assembled STRUCTURE with or without service connections that is not a DWELLING. RECREATIONAL VEHICLE DEFINITION A transportation structure or self-propelled vehicle with or without flexible, removable or collapsible walls and partitions designed to be used as a dwelling for travel, recreation or vacation uses. The term recreational vehicle shall include: motor home, camper bus and travel trailer, but shall not include pickup trucks with camper shells that do not extend above the cab of the truck. For the purpose of this Ordinance, a recreational vehicle shall be subject to all requirements and restrictions for mobile homes as provided in this Ordinance when its placement is intended for non-transient residency. A recreational vehicle shall not be used for temporary storage, temporary accessory

4 farm use, temporary accessory use during a medical hardship, temporary accessory use as an office, or as a principal dwelling unit. (Only utilized for Temporary during Construction) APPLICATION REQUIREMENTS The submission requirements are explained in Section through Section of the Weld County Code. No Zoning Permit for a Mobile Home application shall be assigned a case number or be reviewed until all required items on the Zoning Permit submittal checklist have been completed and submitted to the Department of Planning Services. ADMINISTRATIVE REVIEW The Board of County Commissioners delegates the authority to issue a zoning permit for a mobile home which otherwise requires the approval of the Board of County Commissioners through a public hearing process to the Department of Planning Services upon the determination by the Department that: - The applicant is in compliance with the criteria identified in the Weld County Code, for the specific category of zoning permit that is being applied for. - The Department of Planning Services has sent notice and received signed notification of at least thirty percent of surrounding property owners within five hundred feet of the subject property in opposition to the location of the mobile home. The petition shall indicate that the surrounding property owners who have signed the notification have objections to the issuance of a zoning permit for the mobile home. Any notice not received within twenty one days shall be deemed a positive response of said request. - If the Department of Planning Services has sent notice and received signed notification of at least thirty percent of surrounding property owners within five hundred feet of the subject property in opposition to the location of the mobile home. The petition shall indicate that the surrounding property owners have no objections to the issuance of a zoning permit for a mobile home. Any notice not received within twenty-one days shall be deemed a positive response of said request. INVESTIGATION FEE - An additional investigation fee shall be added to the cost of the permit application when specific land, uses, building, manufactured homes, mobile homes, and structures that require a permit by the Weld County Code are located, moved, operated, or constructed prior to obtaining a permit. The investigation fee shall be fifty percent of the fee established by separate action by the Board of County Commissioners for landuse applications. The payment of such investigation fee shall not relieve any persons from fully complying with the requirements of the Weld County Code, nor from any other penalties.

5 CONTACT INFORMATION AND OFFICE LOCATIONS Weld County Planning and Zoning Weld County Department of Public Works Planning Access Permits Floodplain Administration Engineering 1555 N. 17 th Avenue 1111 H Street Greeley CO Greeley CO (970) (970) Colorado Dept. of Transportation W. 10 th Street Weld County Building Inspection Greeley CO Building Permits (970) Department of Planning 1555 N. 17 th Avenue Greeley CO (970) Weld County Department of Public Health and Environment Weld County Septic Permits On Site Waste Water Systems (OWTS) Division of Water Resources 1555 N 17 th Ave Water Wells Greeley CO Sherman St (970) Room 818 Denver CO (303) Soil Conservation Districts 810 Ninth St Big Thompson (Fort Collins) Second Floor Boulder Valley (Longmont) Greeley CO Centennial x3 (970) Fort Collins Morgan x3 Platte Valley (Brighton) Southeast Weld (Brighton) x101 Well permitting information: West Adams (Brighton) West Greeley x3 Colorado Geological Survey Division of Minerals and Geology Colorado Department of Public Health and 1313 Sherman Street Environment Room Cherry Creek Drive South Denver CO Denver CO (303) (303)

6 ZONING PERMIT MOBILE HOME (ZPMH) APPLICATION FOR PLANNING DEPARTMENT USE RECEIPT/AMOUNT # /$ APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: Parcel Number (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or Legal Description, Section, Township North, Range West Subdivision, Lot, Block Acres FEE OWNER(S) OF THE PROPERTY: Name: Work Phone # Home Phone # Address Address: City/State/Zip Code APPLICANT/AUTHORIZED AGENT: Name: Work Phone # Home Phone # Address Address: City/State/Zip Code TYPE OF APPLICTION Check one Temporary Use During Construction of a Residence (6 months) renewable up to 18 months Temporary Storage (not including storage of goods) (6 months) Temporary Accessory to the Farm (renewed on an annual basis) Temporary Use during a Medical Hardship (renewed on a annual basis) Temporary Accessory Use as an Office in the A (Agricultural) zone district (6 months) renewable up to 18 months Accessory Use in the C (Commercial) or I (Industrial) zone district (for first mobile home) Principle Dwelling TYPE OF SEWAGE DISPOSAL Public or private company WATER SUPPLY Public or private company Septic Tank - ISDS Permit # Individual (well, cistern) Permit # Copy of permit attached: Yes No Copy of permit attached: Yes No ACCESS: Existing - Address What housing is available on the property and what is its present use? How many mobile homes are on the property at the present time? Proposed - Access off of I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included showing the signatory has the legal authority the sign for the corporation. Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date

7 AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Property Legal Description: Parcel Number (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or (Include all lots being included in the application area. If additional space is required, attach an additional sheet) THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of property (the surface estate) within five hundred (500) feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a person qualified to do the task, and shall be current as of a date no more than thirty (30) days prior to the date the application is submitted to the Department of Planning Services. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the legal authority to sign for the corporation. I (We) hereby depose and state under the penalties of perjury that all statements, proposals and/or plans submitted with or contained within the application are true and correct to the best of my (our) knowledge. Signature Date Signature Date Signature Date

8 ACCESSORY TO THE FARM CERTIFICATION I (We) hereby certify, under penalty of perjury and after carefully reading the entire contents of this document, that the below stated information is true and correct to the best of my knowledge. 1. Describe below in detail, or attach a letter describing the farming operation and the role/duties of the occupant of the mobile home in that operation. Attach tax records, employment agreements or any other documents to provide evidence that the occupant is principally employed at or principally engaged in the farming operation. 2. How many hours per week/month will the occupant be working at the farming operation? 3. Will the occupant of the mobile home be employed elsewhere? If yes, how many hours per week/month 4. Total acreage associated with the agricultural operation acres. 5. How many acres are productive farm ground acres. 6. Please list crops associated with the parcel:. 7. How many farm animals are on site: List all the animals to be cared for:. 8. Is there any other information you would like to provide to be included in consideration of this application? I have read and understand Section of the Weld County Code regarding accessory to the farm use. I also understand that this is a temporary use and that I must revalidate the use on an annual basis that the occupant of the mobile home is principally employed at or principally engaged in the farming operation. I also understand that this unit is not to be used for rental purposes. I affirm and acknowledge that the above statements are true and correct. Owner Signature Date Subscribed and sworn to before me this day of, 20. My commission expires Notary Public

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