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Application and Payment AgreementleGarfield County 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 Development in 100 -Year Floodplain • Administrative Review • • Limited Impact Review • Development in 100 -Year Floodplain Variance • Major Impact Review • Code Text Amendment • Amendments to an Approved LUCP ❑ LIR ❑MIR ❑ SUP = Rezoning • Zone District ❑ PUD ■ PUD Amendment • Minor Temporary Housing Facility • — Administrative Inter•retation _ ■ Vacation of a County Road/Public ROW • Appeal of Administrative Interpretation • Location and Extent Review • Areas and Activities of State Interest • Comprehensive Plan Amendment • Accommodation Pursuant to Fair Housing Act • Pipeline Development • Variance • Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: Springridge Reserve Homeowners Association phone: ( 970 Mailing Address: 901 Grand Avenue, Suite 201 City: Glenwood Springs State: CO Zip Code: 81601 E-mail; dmcconaughy@garfieldhecht.com ) 947-1936 Representative (Authorization Required) Name: Neil W. Goluba Phone: ( 970 ) 945-9141 Mailing Address: P.O. Box 931 City: Glenwood Springs State: CO zip code: 81602 E-mail: golubapc@comcast.net PROJECT NAME AND LOCATION Project Name: Parcel A, Springridge Reserve PUD, Phase 1 Assessor's Parcel Number: 2 3 9 5 _ 1 0 4- 0 9 0. 1 5 0 Physical/Street Address: nla Legal Description: Parcel A as shown on the Final Subdivision Plat for Springridge Reserve Planned Unit Development, Phase 1, recorded on Aug. 25, 2005 as Reception No. 681074 Zone District: PUD Property Size (acres): 190 acres PROJECT DESCRIPTION Existing Use: PUD OPEN SPACE Proposed Use (From Use Table 3-403): SINGLE-FAMILY RESIDENTIAL Description of Project: BOUNDARY LINE ADJUSTMENT WITH NEIGHBORING PARCEL 11, FARANHYLL RANCH REQUEST FOR WAIVERS Submission Requirements ❑ The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: Section: Section: Section: Waiver of Standards ❑ The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: I have read the statements above and have provided the required attached information which is correct and curate to the :est o my knowledge. AziraviLizciN Si ture of Prop pyOwner I OFFICIAL USE ONLY File Number: Fee Paid: $ Garfield County 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 • • —AWL_ • Administrative Review _AL_Allii Development in 100 -Year Floodplain Development in 100 -Year Floodplain Variance • Limited Impact Review ❑ Major Impact Review • Code Text Amendment • Amendments to an Approved LUCP ❑ LIR ❑MIR ❑ SUP - Rezoning • Zone District ❑ PUD ■ PUD Amendment • Minor Temporary Housing Facility ■ _ Administrative Interpretation • Vacation of a County Road/Public ROW • Appeal of Administrative Interpretation • Location and Extent Review • Areas and Activities of State Interest • Comprehensive Plan Amendment • Accommodation Pursuant to Fair Housing Act ❑ Pipeline Development ❑ Variance • Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: William Andrew Niemeyer and Shirley Jackson Niemeyer Phone: ( 303 ) 653-4000 Mailing Address: 2242 16th Street City: BoulderState: CO Zip Code: 80302 E-mail: andrew@saksinvestments.com Representative (Authorization Required) Name: Neil W. Goluba phone: ( 970 ) 945-9141 Mailing Address: P.O. Box 931 City: Glenwood Springs E-mail: golubapc@comcast.net State: CO Zip Code: 81602 PROJECT NAME AND LOCATION Project Name: Parcel 11, Faranhyll Ranch Assessor's Parcel Number: 2 3 95 - 1 5 2 0 0 0- 1 4 0 Physical/Street Address: 5744 County Road 117, Glenwood Springs, CO 81601 Legal Description: Parcel 11, Faranhyll Ranch Zone District: Rural Property Size (acres): 39 acres PROJECT DESCRIPTION Existing Use: PUD OPEN SPACE Proposed Use (From Use Table 3-403): SINGLE-FAMILY RESIDENTIAL Description of Project: BOUNDARY LINE ADJUSTMENT WITH NEIGHBORING PARCEL A, SPRINGRIDGE RESERVE PUD, PHASE 1 REQUEST FOR WAIVERS Submission Requirements 0 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: Section: Section: Section: Waiver of Standards 0 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: I have read the statements above and have provided the required attached information which is correct and - c Yate to thesof y knowledge. Sig =ture of Prope, Owner 11 if-ptilir2l�.1 17 11 ,u�v ( Dat OFFICIAL USE ONLY File Number: Fee Paid: $ Garfield County PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANT") Springridge Reserve HOA and William Andrew Niemeyer and Shirley Jackson Niemeyer agree as follows: 1. The Applicant has submitted to the County an application for the following Project: Rezoning - Parcel 11, Faranhyll Ranch 2. The Applicant understands and agrees that Garfield County Resolution No. 2014-60, as amended, establishes a fee schedule for each type application, and the guidelines for the administration of the fee structure. 3. The Applicant and the County agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional County staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, the Applicant shall pay additional billings to the County to reimburse the County for the processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. I hereby agree to pay all fees related to this application: Billing Contact Person: Neil Goluba Phone: ( 970) 945-9141 Billing Contact Address: PO Box 931 City: Glenwood SpringsState: CO Zip Code: 81602 Billing Contact Email: golubapc@comcast.net Printed Name of Person Authorized to Sign: Neil Goluba 6-6-17 nature) (Date)