ZONING PERMIT FOR A SECOND DWELLING (ZPSD) SUBMITTAL CHECKLIST A Second Single-Family Dwelling in the A (Agricultural) Zone District

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ZONING PERMIT FOR A SECOND DWELLING (ZPSD) SUBMITTAL CHECKLIST A Second Single-Family Dwelling in the A (Agricultural) Zone District APPLICATION REQUIREMENTS: Pre-Application conference One original application form One original drawing. A scaled drawing of the property (1"=50') needs to show the proposed location of the second home. Include distances between the property lot lines and proposed second 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). Copy of a document showing evidence of adequate methods of sewage disposal (e.g. septic permit). 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 original completed Questionnaire. One copy of statement from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. Signed affidavit stating that a family member/caregiver will be residing in the second home. 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, www.co.weld.co.us 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. 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 land-use 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

ZONING PERMIT FOR A SECOND DWELLING (ZPSD) PROCEDURAL GUIDE APPLICATION FEE HEARINGS/MEETINGS PROCESSING TIME $ 500.00 Administrative Staff Review or Board of County Commissioners 60 days $ 250.00 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 Second Single Family Dwelling to be located in the A (Agricultural) Zone District. It is the responsibility of the applicant to be knowledgeable of the specific requirements of the ZPSD application process. Specific requirements regarding Zoning Permits may be found in Chapter 23, Article IV, Division 8 of the Weld County Code. GENERAL INFORMATION BUILDING PERMITS Building permits are required for all dwellings in addition to the Zoning Permit for a Second Dwelling. The building permit may be obtained from the Building Inspection Department, 1555 N. 17 th Avenue, Greeley, Colorado 80631, Phone 353-6100 x3540. The permit will be released only after approval of the Zoning Permit. INTENT No second SINGLE-FAMILY DWELLING on a LEGAL LOT in the A (Agricultural) Zone District shall be allowed without first receiving an approved zoning permit as required by this Division. The intent of allowing a second SINGLE-FAMILY DWELLING on a LEGAL LOT in the A (Agricultural) Zone District is to provide for family and caregivers to dwell on the same LEGAL LOT. An application for any zoning permit for a second SINGLE-FAMILY DWELLING on a LEGAL LOT in the A (Agricultural) Zone District shall include the following: DEFINITION DWELLING, SINGLE-FAMILY (SINGLE-FAMILY DWELLING): A DWELLING UNIT or MANUFACTURED HOME other than a MOBILE HOME arranged, designed and intended to be occupied by not more than one (1) LIVING UNIT. The projected view of any exterior wall of a DWELLING UNIT or MANUFACTURED HOME shall not be less than twenty-four (24) feet. PRE-APPLICATION CONFERENCE Any person wanting to apply for a Second Single Family Dwelling shall arrange for a pre-application conference with the Department of Planning Services. APPLICATION REQUIREMENTS The submission requirements are explained in Section 23-4-600 of the Weld County Code. No Zoning Permit for a Second Dwelling 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 second SINGLE- FAMILY DWELLING on a LEGAL LOT in the A (Agricultural) Zone District, which otherwise requires the approval of the Board of County Commissioners through a public hearing process, to the Department of Planning Services upon a determination by the Department that: - The applicant is in compliance with the criteria identified in this Division 8. - The Department of Planning Services has sent notice and received signed notification of at least thirty percent (30%) of surrounding property owners within five hundred (500) feet of the subject property in opposition to the location of the second SINGLE-FAMILY DWELLING. 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 second SINGLE-FAMILY DWELLING. Any notice not received within twenty-eight (28) 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.

APPLICATION ASSISTANCE AND OFFICE LOCATIONS Weld County Planning and Zoning Department of Planning Services 1555 N. 17 th Avenue Greeley, CO 80631 (970) 400-6100 Web link www.co.weld.co.us/department/planningzoning Weld County Building Inspection Department of Planning Services 1555 N. 17 th Avenue (970) 400-6100 Web link www.co.weld.co.us/department/planningzoning Water Wells - State of Colorado Division of Water Resources 1313 Sherman St Rm 818 Denver CO 80203 (303) 866-3581 Division of Water Resources 810 Ninth St 2 nd Floor (970) 352-8712 Web link - www.water.state.co.us Geological - State of Colorado Colorado Geological Survey Division of Minerals and Geology 1313 Sherman St Rm 715 Denver CO 80203 (303) 866-2611 Weld County Public Roads Weld County Department of Public Works H 1111 St (970) 400-3750 Web link www.co.weld.co.us/departments/ PublicWorks Colorado Highways Colorado Department of Transportation 1420 Second St (970) 353-1232 Web link www.colordadodot.info/ Weld County Septic Permits Weld County Dept of Public Health and Environment 1555 N 17 Av (970) 304-6415 Web link www.co.weld.co.us/department/healthenvironment Soil Conservation Districts Big Thompson (Fort Collins) - 970-493-1638 Boulder Valley (Longmont) - 303-776-4034 Centennial - 970-522-7440 x3 Fort Collins - 970-221-0611 Morgan - 970-867-9659 x3 Platte Valley (Brighton) - 303-857-6721 Southeast Weld (Brighton) - 303-659-7004 x101 West Adams (Brighton) - 303-659-2080 West Greeley - 970-356-8097 x3 Web link www.cacd.us Web link - www.geosurvey.state.co.us

ZONING PERMIT FOR A SECOND DWELLING (ZPSD) 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 www.co.weld.co.us) Legal Description, Section, Township North, Range West Acres FEE OWNER(S) OF THE PROPERTY: Name: Work Phone # Home Phone # Email Address Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code TYPE OF SEWAGE DISPOSAL WATER SUPPLY Public or private company Public or private company Septic Tank - ISDS Permit # Individual (well, cistern) Permit # What housing is available on the property and what is its present use? How many homes are on the property at the present time? PROPOSED USE: 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 indicating that the signatory has to legal authority to sign for the corporation. Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date

ZONING PERMIT FOR A SECOND DWELLING (ZPSD) QUESTIONNAIRE Please type or print your responses to the following questions on a separate sheet of paper. 1. Water supply statements addressing the following: a. Domestic use. The statement will include evidence that a water supply of sufficient quality, quantity and dependability will be available to serve all proposed lots. A letter from a water district, municipality, or a well permit are examples of evidence for domestic use. (Example - Water will be provided by the 123 Water Company, a tap agreement has been purchased and a copy of the receipt is attached, or Water will be provide by a well (Well Permit # 12345 is attached. ) 2. A statement explaining that the proposed lot will have an adequate means for the disposal of sewage in compliance with the requirements of the underlying zone district and the Weld County Department of Public Health and Environment. A copy of the septic permit or a letter from the sewage disposal facility must accompany the application. (Example - Sewer service will be provided by Anytown Sewer and a Commitment to serve letter from Anytown is attached. or An engineered Septic system will be designed, constructed and permitted according to Weld County ISDS requirements. or A copy of the existing Septic Permit and appropriate copies (#123456789) are included with the application. ) 3. A description of how the property is being used. When the parcel(s) is located in the agricultural zone district, the number and types of livestock and any existing improvements such as the principal residence, labor home, mobile home, manufactured home, barn, outbuildings, and oil/gas well production facilities on the property. If the property is being farmed the location of any pivot sprinklers and irrigation ditches as well as types of crops being produced. (Example - The parcel has one farmhouse, one mobile home for the hired hand (permitted under Mobile Home Permit # ZPMH-123), two barns, a one loafing shed. The north half is currently used for pasture for approx. One hundred head of cattle and six to ten horses. There is an oil and gas well head and tank battery in the northeastern corner. The south half of the property is flood irrigated and currently planted in alfalfa. ) 4. A statement describing any unique physical characteristics on the site, if applicable such as rock outcroppings, hills, ditches. (Example - The ABC ditch runs diagonally across the southeastern quarter of the property. )

AFFIDAVIT FOR ACKNOWELDGMENT OF THE INTENT FOR A SECOND SINGLE-FAMILY DWELLING 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. I (We) have read and understand Section 23-4-600 of the Weld County Code which states that the intent of the second single-family dwelling is that a family member and/or caregiver will be residing in the second dwelling. I affirm and acknowledge that the above statements are true and correct. Signature Signature Subscribed and sworn to before me this day of, 20. My commission expires Notary Public

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 www.co.weld.co.us) (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