HomeMy WebLinkAbout1.01 Application FormsLake Springs Ranch
Subdivision Preliminary Plan & PUD Amendment December 2025
Exhibit 1 | Land Use Change Application Forms
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www .garfield -cou nty .com
TYPE OF APPLICATION
□Administrative Review
Dlimited Impact Review
□Major Impact Review
□Amendments to an Droved LUCP
OuR OM1R sup
□Minor Temporary Housing Facility
Dvacation of a County Road/Public ROW
□Location and Extent Review
□Comprehensive Plan Amendmen ~
□Pipeline Development
Exhibit 1
LAND USE CHANGE PERMIT
APPLICATION FORM
D Development in 100-Year Floodplain
D Development in 100-Year Floodplain Variance
D Code Text Amendment
D Rezoning
Ozone District 0PUD [Z]PUD Amendment
□Administrative Interpretation
□Appeal of Administrative Interpretation
□Areas and Activities of State Interest
□Accommodation Pursuant to Fair Housing Act
□Variance
0Time Extension {also check type of original application)
INVOLVED PARTIES
Owner/ Applicant
Name: Berkeley Family, LLLP Phone: ( 97 o ) 230-0154
Mailing Address: 1302 WAUGH DRIVE #684
city: HOUSTON State: TX Zip Code: 77019
E-mail: mike@mexicomedical.org
Representative (Authorization Required)
Name: TG Malloy Consulting, LLC Phone: { 970 ) 618-6097
Mailing Address : 402 Park Drive
City: Glenwood Springs State: CO Zip Code: 81601
E-mail: tim@tgmalloy.com
PROJECT NAME AND LOCATION
Project Name:
Lake Springs Ranch PUD/Preliminary Plan Amendment
Assessor's Parcel Number: ---------------
Physical/Street Address: 4001 114 COUNTY RD GLENWOOD SPRINGS 81601
Legal Description: See attached survey.
Zone District: PUD Property Size (acres): 203 • 73
PROJECT DESCRIPTION
Existing Use: Vacant , small cabin
Proposed Use (From Use Table 3-403): Single-family and multi-family residential
Description of Project: ____________________________ _
For Appeal of Administrative Interpretation please include:
1. The Decision you are appealing.
2. The date the Decision was sent as specified in the notice (date mailed).
3. The nature of the decision and the specified ground for appeal. Please cite specific code sections
and/or relevant documentation to support your request.
4. The appropriate appeal fee of $250.00.
5. Please note a completed Appeal Application and fees must be received within 30 calendar days
of the date of the final written Administrative Interpretat ion.
REQUEST FOR WAIVERS
Submission Requirements
□ The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List :
Section: Section:
Section: Section:
Waiver of Standards
□ The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section : Section:
Section : Section:
I have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
Date
OFFICIAL USE ONLY
File Number: ____ -___ _ Fee Paid:$ ____________ _
oe Ga;jield cOunty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
□Administrative Review
Exhibit 11
Development in 100-Year Floodplain
Dumited Impact Review D Development in 100-Year Floodplain Variance
0Major Impact Review
□Amendments to an ~roved LUCP
OuR DM1R usuP
0MinorTemporary Housing Facility
□vacation of a County Road/Public ROW
D Code Text Amendment
□Rezoning
Zone District 0PUD 0PUD Amendment
□Administrative Interpretation
□Appeal of Administrative Interpretation
Location and Extent Review Areas and Activities of State Interest
□comprehensive Plan Amend men~ □Accommodation Pursuant to Fair Housing Act
Time Extension {also check type of original application)
Owner/ Applicant
Name: Plus Lazy K
Mailing Address: 3961 County Road 114
City: Glenwood Springs
E-mail:jared@rivendelldistribution.com
Representative (Authorization Required}
Name: TG Malloy Consulting, LLC
Mailing Address: 402 Park Drive
City: Glenwood Springs
E-mail: tim@tgmalloy.com
Project Name:
Phone: { 970 ) 945-2568
State: CO Zip Code: _8_1_6_0_1 ____ _
Phone: { 970 ) 618-6097
State: CO Zip Code: _8_1_6_0_1 ____ _
Lake Springs Ranch PUD/Preliminary Plan Amendment
Assessor's Parcel Number: ---------------
Physical/Street Address: 3961 COUNTY RD 114 GLENWOOD SPRINGS 81601
Legal Description: See attached survey.
Zone District: _P_U_D ____________ Property Size (acres): _1_8_2_.6_7 ____ _
Existing Use: Agriculture (sod farm) and commercial landscape products and materials sales.
Proposed Use (From Use Table 3-403): _S_a_m_e_a_s _e_xi_st_in-'g"-------------------
Description of Project: Remove property from PUD Preliminary Plan
For Appeal of Administrative Interpretation please include:
1. The Decision you are appealing.
2. The date the Decision was sent as specified in the notice (date mailed).
3. The nature of the decision and the specified ground for appeal. Please cite specific code sections
and/or relevant documentation to support your request.
4. The appropriate appeal fee of $250.00.
5. Please note a completed Appeal Application and fees must be received within 30 calendar days
of the date of the final written Administrative Inter retation.
Submission Requirements
D The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List:
Section: ______________ Section: ______________ _
Section: ______________ Section: ______________ _
Waiver of Standards
D The Applicant is requesting a Waiver of Standards per Section 4-118. List:
Section: ______________ Section: ______________ _
Section: ______________ Section: ______________ _
I have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
Signat e of Property Owner or Authorized Representative, Title Date
FileNumber: _______ _ Fee Paid:$ ____________ _