LOCATION AND EXTENT REVIEW FOR DEVELOPMENT OF PUBLIC FACILITIES (Revised 3/1/2017)

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LOCATION AND EXTENT REVIEW FOR DEVELOPMENT OF PUBLIC FACILITIES (Revised 3/1/2017) Lana Gallegos, AICP Senior Planner 970-524-1729 Cindy Schwartz, Assistant Planner 970-524-1750 DATE APPLICATION SUBMITTED: NAME OF PROPOSED FACILITY: NAME OF REPRESENTATIVE: PHONE: MAILING ADDRESS: _ CITY: STATE: ZIP: E-MAIL: FEE: $250.00 DEPOSIT: $500.00 PAID: $ CHECK #: CC: DATE: Payment of fees: 1. Town Manager, or their authorized designee, has authority to increase or decrease the deposit amount required according to project complexity and estimated costs required for outside services, including but not limited to, general counsel and water attorney fees, engineering fees, plat check fees, recording fees, and publication fees. 2. Deposits may be required to be increased prior to proceeding with processing of application if it is determined costs will exceed said deposit. 3. All fees incurred above deposit amounts are still the responsibility of the applicant as required by the Gypsum Municipal Code even if approval is denied or application is withdrawn. 4. Permit fees cover town planning staff review time and all Planning and Town Council hearings. 1

5. Deposit cover items, including but not limited to, town engineer review times, outside engineer review times, general counsel and water attorney fees, publication notices, postage/mailing notices, plat check fees, updates to GIS system, and updates to the town zoning map. 6. Any outstanding fees due to the Town must be paid before any additional land use applications will be accepted. 7. Combined submissions, such as annexation and sketch plans, or preliminary and final, shall be accompanied by a combined fee. (Ord. 2010-23) ITEMS TO BE INCLUDED, BUT NOT LIMITED TO, ARE: Application and submitted materials are to be submitted no later than 60 days prior to the scheduled Planning meeting. In addition, the following must be completed: Please initial that the item has been submitted and/or acknowledged. (1) 24 x 36 Mylar copy of the Final Location and Extent Review Map due one week following approval. (1) 11 x 17 copy of the Location and Extent Review Map due at application (1)24 x 36 copy of the Location and Extent Review Map, due at application shall include: Roads Setbacks, easements Utilities and drainage Land area and legal description Vicinity map (one mile radius with emphasis on major roadways) Proposed land use for each area and its area in square feet Existing and proposed public and private right-of-way serving the site, types of surfacing and width of paving. The existing zoning of the property to be used, as well as the zoning and residential density of all adjacent properties. Existing and proposing finished grade topography shown at two foot (2 ) contours, corresponding with datum acceptable by the County. The location(s) and dimension(s) of all existing and proposed structures, the use(s) to be located herein, the building elevations, gross floor area and locations of entrances and loading points. Location of outdoor waste disposal systems. All existing and proposed curb cuts, driveways, parking (including number of spaces) and storage areas. The location(s) and dimension(s) of existing curb cuts and driveways on adjacent properties and across right-of-way. 2

All walks, open and recreation areas with a description of these improvements. Provisions for access by emergency vehicles. Signage and lighting devices fully detailed. Utility lines and appurtenances. Letter stating why it is needed An illustrative landscape plan showing locations, general types and sizes of all proposed landscaping materials, fences, walls, planters and any other landscaping feature. All of the above information has been submitted electronically on a disk (PDF). *Additional information may be requested by the Planning Department if appropriate to the request, and information regarding the above may be waived by the Planning Department if it is deemed to be inappropriate to the request. All costs incurred by the Town in reviewing the application must be reimbursed by the applicant prior to final action by the Town. Professional services subject to reimbursement include, Town Engineer, Town Attorney, Town Water Engineer, etc.. and publication fees. I have read the application form for the Location and Extent Review submittal and understand it is my responsibility to provide the proper officials with the information as outlined in this application. I also understand it is my responsibility to attend or have someone represent this project at the Planning. Upon satisfactory completion of this Application, the Planning will consider your request at a public hearing. The Town reserves the right to approve or deny the Application. Signature (Must be signed by property owner or include written authorization that other representative may submit this application) Date Print Name 3

TOWN OF GYPSUM, SUBDIVISION SUMMARY FORM Date of Final Plat Submittal: Land Use Single Family Lot Duplex Lot Apartment Lot Condominium Lot Mobile Home Lot Commercial Lot Industrial Lot Other Lot (Specify) School Land Recreation Area Common Area Street Right-Of- Way Other (Specify) Total Subdivision Number Of Lots In This Use Total Number Of Dwelling Units Average Lot Size & Size Range Percent of Total Subdivision POSTING NOTICE 18.16.060 - Notice requirements Certain zoning actions require a public hearing, notice of which shall be given in the manner and within the times set forth in the following notice requirements: Type of Action Planned Unit Development (PUD) Hearing Requirement Notice in Newspaper Service or Mailing Posting PUD Preliminary Plan (18.08.150) Town Council 15 days 15 days 15 days Amendments to PUD (18.08.180) Town Council 15 days 15 days 15 days Maintenance of Common Property (18.08.030) Town Council N/A 15 days N/A Conditional Use Permit None N/A N/A N/A Suspension/Revocation (18.12.050) No 10 days No Revocation (18.16.040(c)) Town Council Optional 7 days Optional 4

Special Use Permit (18.12.040) Suspension/Revocation (18.12.050) 10 days 10 days 10 days No 10 days No Revocation (18.16.040(c)) Town Council Optional 7 days Optional Variance (18.13.030) Appeal Board of Adjustment 10 days 10 days 10 days 10 days 10 days 10 days Revocation (18.16.040(c)) Town Council Optional 7 days Optional Location and Extent (18.14) None N/A N/A N/A Code and Map Amendments (18.15.040) Text, Not Site Specific Site Specific Amendment 15 days None None 15 days 15 days 15 days Text, Not Site Specific Town Council 15 days None None Site Specific Amendment Town Council 10 days 10 days 10 days Notice of Violation/Corrective Action Order, Nonemergency (18.16.040(c)) Revocation of Building Permit (18.16.040(c)) None None 30 days 30 days (alternative) Town Council Optional 10 days Optional Stop Work Order (18.16.040(c)) None None Immediate Immediate Appeals (18.16.050) 18.16.070 Posting A. Responsibility Board of Adjustment 10 days 10 days 10 days Posting of a sign on the property giving notice of any public hearing shall be the responsibility of the applicant. Staff shall advise the applicant in writing within five business days of receipt of the application of this posting requirement and the location and number of signs required for the application. All signs must be prepared by or for the applicant at the applicant's expense. All signs must be posted on the property not less than 15 or not 5

less than ten days prior to the scheduled public hearing as set forth in section 18.16.060. The applicant must take a clear and distinct photograph of the sign(s) and submit the photograph(s) to the planning department immediately upon posting the property. No later than noon on Friday prior to the scheduled public hearing, the applicant shall present a certificate of posting in the following form to the planning department. ** A sign may also be purchased from the town for a fee of $100. B. Certificate of Posting See attached AFFIDAVIT CONCERNING POSTED NOTICE (Notarization Required) Failure to present the certificate of posting and submit the photograph(s) will result in a rescheduling of the public hearing and require a new posting of the property. C. Sign Specifications A sign not less than three feet by four feet in size erected on posts no lower than four feet above natural grade and legible from the nearest dedicated public right-of-way. Title of sign shall be in letters not less than five inches high. Said sign shall be removed by the applicant within two weeks of the conclusion of the public hearing. See Section C of the Gypsum Municipal Code 18.16.070. LOCATION AND EXTENT CHECKLIST (to be completed by Town of Gypsum): Name of facility _ Location and Extent application due 60 days before Planning Meeting Date application deemed complete: Planning regular meeting date: Distributed to: Town Planner Town Manager Planning (7 members) Town Engineer Public Works Director Town Attorney- Bob Cole Date: 6

Town Water Engineer- Tom Zancanella Date emailed to Reader Board & Eagle Valley Enterprise (for Planning Public Hearing) Date Public Hearing notice mailed to adjacent property owners 7

AFFIDAVIT CONCERNING POSTED NOTICE (Revised 3/1/2017) Applications for: The undersigned, being of lawful age, being first duly sworn upon oath hereby certifies and verifies: 1. That since _, 20, the property that is the subject of the applications for (collectively the Applications ) filed by (the Applicant ) has been continuously posted with notice of the, 20 public hearing before the Gypsum Planning, in accordance with the guidelines set forth in Chapters 17.70 and 18.15 of the Gypsum Municipal Code. 2. The posting has been continuously maintained on the property in its original posting location since, 20 on the (Location) of the property, as depicted on Exhibit A attached hereto. 3. Since, 20, the posting has been continuously inspected by me or under my direction to ensure that the posting has continuously remained in place. 4. Attached hereto are photograph(s) of the posting taken on, 20, reflecting the condition that the posting has been maintained in since its positing. STATE OF COLORADO ) ) ss. COUNTY OF EAGLE ) Date: _, 20 The forgoing Affidavit Concerning Posted Notice was subscribed and sworn to before me on this _day of, 20 by. Witness my hand and official seal. My commission expires: Notary Public