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Home My WebLink About1.01 Application General.pdf Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION  Administrative Review  Location and Extent Review  Limited Impact Review  Development in 100-Year Floodplain  Major Impact Review  Designation of Flood Fringe/Floodway  Amendments to an Approved LUCP LIR MIR SUP  Rezoning Zone District PUD PUD Amendment  Minor Temporary Housing Facility  ULUR Text Amendment  Vacation of a County Road/Public ROW  Appeal of Administrative Interpretation  Pipeline Development  1041 Regulations  Comprehensive Plan Amendment Major Minor  Variance INVOLVED PARTIES Owner/Applicant Name: ________________________________________________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ Representative (Authorization Required) Name: ________________________________________________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ PROJECT NAME AND LOCATION Project Name: _____________________________________________________________________________________ Assessor’s Parcel Number: ___ ___ ___ ___ - ___ ___ ___ - ___ ___ - ___ ___ ___ Physical/Street Address: ________________________________________________________________ Legal Description: ______________________________________________________________________ _____________________________________________________________________________________ Zone District: ___________________________________ Property Size (acres): __________________ FEE SCHEDULE - BASE FEES TYPE OF LAND USE ACTION BASE FEE LAND USE CHANGE PERMITS General Administrative Permit $250 Limited Impact Review / Amendment $400 / $300 Major Impact Review / Amendment $525 / $400 Rezoning: Text Amendment $300 Rezoning: Zone District Amendment $450 Planned Unit Development (PUD) / Amendment $500 / $300 Floodplain Development Permit $400 Pipeline Development Plan / Amendment $400 / $300 Vacating Public Roads & Rights-of-Way $400 Small Temporary Employee Housing $50 Minor Temporary Employee Housing $250 Comprehensive Plan Amendment $450 Variance $250 Interpretation $250 Takings Determination NO FEE 1041: Areas & Activities of State Interest $400 SUBDIVISIONS Sketch Plan $325 Preliminary Plan / Conservation Subdivision $675 + application agency review fees and outside consultant review fees, as authorized pursuant to the Regulations, such as the Colorado Geologic Survey Preliminary Plan Amendment $325 Final Plat $200 Final Plat Amendment / Correction Plat $100 Combined Preliminary Plan and Final Plat $1,075 EXEMPTIONS Minor Exemption / Amendment $300 / $300 Major Exemption / Amendment $400 / $300 Rural Land Development Option Exemption / Amendment $400 / $300 STAFF HOURLY RATE Planning Director $50.50 Senior Planner $40.50 Planning Technician $33.75 Secretary $30.00 County Surveyor Review Fee (includes review of Amended Plats, Final Plats, Exemption Plats) Determined by Surveyor Mylar Recording Fee $11 – 1st page, $10 each additional page SVCS – Location & Extent 1 Submittal Item: Application Information and Identification of Project Financier The following provides the applicant’s information and identifies the governing body which finances the project. The site development plan is attached with this submittal item (I.b.8.a). Applicant Information (Land Owner) Project Financier (Lessee) J&S Nieslanik LLLP 3188 S. Grand Avenue Glenwood Springs, CO 81601 (970) 945-5130 Rocky Mountain Natural Gas LLC 600 12th Street Suite Golden, CO 80401 (303) 243-3584 (Office) Applicant’s Authorized Representative Ashlee Lane HRL Compliance Solutions, Inc. 2385 F 1/2 Road Grand Junction, CO 81505 (970) 243-3271 (Office) (970) 243-3280 (Fax) Jeff and Britton Nieslanik J&S Nieslanik Nieslanik Chain S34 T6S R88W S34 T7S R88W