INSPEC26886

• Permit No: M2000034
• IBM Index Class Name: Inspection
• Doc Date: 6/1/2005
• Doc Name: Response and Corrective Action
• From: Lafarge West Inc.
• To: DMG
• Inspection Date: 2/3/2005
• Media Type: D
• Archive: No

•
COh1Mln'ED i0 E%CEILENCE
^ Extended Family Dwelling
^ Farmstead
^ Rezoning
^ Site Plan Review
^ Concept Review
^ Sketch Plan Review
~.vuu~y rlatruury ucNar uuc~r~ ~NNrr., -:~rvrr
vr~u ~.
Please note that submittal deadlines are applicable to certain types of applications. Applications submitted
after 12:00 PM on submittal deadline days will not be accepted.
~ Special Review
^ Variance
^ Waiver
^ Staff Review
^ Board of County Commissioners
' Property owner
Name: Flatirons Ccmtoanies
Address: P.O. Box 229
City / State I Zip: Bnn1 Aar,_f'(1 R030f,
Contact Phone: [phone]
E-mail;
Property owner
(Name: Double S-M Farms
Address: p.r1. Bnx 229
City /State !Zip: Boulder, CO 80306.
i Contact Phone: [phone]
I E-mail:
Property owner
Address:
^ Wireless Facility- Admin Review
^ Other. Please Lict
^ Board of Adjusbrl°nt
Agency: TST, Inca Consulting ".ngineers
Contact person: Marv Harnett
Address: ,7Q8 a1 rc Wav, B~,i,lcii~~
City /State /Zip: Fort Collins , CO 8 5'20 5
Contact Phone: (,970) 226-0557 Fax: ~`?70) 226-0204
Email:
Surveyor
Agency: F'ngin a_ r~_
Contact person: Pau emperer
Address: 748 Whale rs WaV. Bui18;nQ D
City /State /Zip: Fort •Collins . CO. 805'25
Contact phone: f 9701 226=.0'557 Fax.'_~i70) 226-0204.
^
ontactPhone: (97fi) 669-F417
-maN:
1 AppUcant/Contact Person:
Name; Western Mobile Northern, Inc a
Address: ~g00 Nor+h maf+ ui 1 ~ F2ndA
City / Stata /Zip: Fnrt Cn1Ti n c ,_{'.O 'Ri1.522
Contact Phone: Fax: (9701 '407-3'654
E-mail:
Contact person:
Address:
City /State /Zip;
Contact Phone: Far.: _
E-mail:. -
I hereby certify that I am the lawful owner of the parcel(s) of land that this application wncems and consent to this. action. I hereby permit
county officials to enter upon the property for the purposes of inspection relating to this application. Please note: t.ruilding penults will
not be accepted wh11e this application is pending.
Owner:
See AttacYmlez>t Date:
I hereby certify that the Information and exhibits herewith submitted are true and correct to the best of nrv knowledge and that In
filing the application I am acting with the knowledge and consent of the owners of the property. In subrnitting the application
materials and signing this application agreement, l acknowledge and agree that the application Is subject to the applicable
processing and public hearing requirements set forth In the Larimer County Land Use Code. I acknowlerrrle that I have obtained
or have access to the Larimer County Land Use Coda, and that, prior to filing this application, I have had le apportunlty to
consult the relevant provisions goveming the processing of and decision on the application. I understand1 that this proposal may
be delayed In processing if the information provided Is incomplete, Inaccurate or submitted after the deafi{(ne date. I understand
that acceptance of this application by Larimer County for filing and receipt of the appiicatton fee by Larir++:r County does not
necessarily mean that the application Is complete under the applicahle requirements of the Land Use Cocie. I, the applicant, and
Larime o my hereby agree that a decision to approve, conditionally approve or deny this application veil be rendered no later
than ~ days following the date on which this application Is filed and determined to be complete b}• fire Larimer County
Planning Department, unless the County and the applicant agree in writing to a later date. The Larimer ~' ~ mty Planning
7epartment will noti/fy the, aynp~p~li2ca/nt in writin~gJ~of~the date on which the application Is determined to l:^/~. - piQte.
Applicant: ~,( (.lD ~~!/1('.Tlli7~l9/D,~~.E-PJi/ Date:_t~x/'~
Staff usa only:
~'dtFile~#, _: , :: ~ ~.; :" Check #
Qaie ReceLve"d„~.., ~ - .~AmountiP.aid:$ ~hJc" ngrven.~~i!_; .k: ~`~~`~