Date Revised: 12/30/19
Page 1
MINOR SUBDIVISION
P.O. Box 2002
Buena Vista, CO 81211
719-395-8643
www.buenavistaco.gov
Project Address
Submit Date
Town Use Only
CONTACT INFORMATION
Applicant Name
Phone Number
Email Address Parcel Number
Property Owners Name
Phone Number
Owners Mailing Address
City, State, ZIP
Email Address
Subdivision (S) less than 10
Elimination of Lot Line (ELL) Duplex Conversion (DC)
lots 16.6.6.1.B.1
16.6.6.1.B.2 16.6.6.1.B.1
Lot Line Adjustment (LLA) Correction Plat (CP)
16.6.6.1.B.3 16.6.6.1.B.4
Describe your project in detail.
Condominimum (C) less than
10 units
16.6.6.1.B.1
1)
Previous S, ELL, DC, C, No Yes Date(s)
LLA, CP
Comments
2)
Surrounding Zoning - Please choose (MU-MS, MU-1, MU-2, R-1, R-2, R-3, I-1, HC) and Overlay (Airport, Old Town, Crossman)
North: South: East: West:
3) Surrounding
Use - Please choose from (Residential, Commercial, Industrial, Town Park)
North: South: East: West:
4)
Utility / Lot Information
Existing utility main lines currently serving subdivision property. If new lots are proposed, then a will server letter from each utility provider
needs to be submitted.
Lot / Unit 1 Water Sewer Electric Gas Proposed Water Sewer Electric Gas
Existing Acreage / Sq. Ft. of parcel New Acreage / Sq. Ft. of parcel
Lot / Unit 2 Water Sewer Electric Gas Proposed Water Sewer Electric Gas
Existing Acreage / Sq. Ft. of parcel New Acreage / Sq. Ft. of parcel
Lot / Unit 3 Water Sewer Electric Gas Proposed Water Sewer Electric Gas
Existing Acreage / Sq. Ft. of parcel New Acreage / Sq. Ft. of parcel
Lot / Unit 4 Water Sewer Electric Gas Proposed Water Sewer Electric Gas
Existing Acreage / Sq. Ft. of parcel
5)
Access Information
New Acreage / Sq. Ft. of parcel
TYPE OF APPLICATION
BASIC INFORMATION
NARRATIVE
Page 2
I hereby certify that I have read and examined all application submitted at this time and know the same to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
other state or local law regulating construction or the performance of construction. It is my responsibility to review the approved plans and any comments that are contained
thereon and see that the structure and/or project is built in compliance with all applicable codes
Applicant
Required Item Town Staff
Minor Subdivision Fee(s) Application fee plus Deposit
S
ubdivision =$650+ $620
D
IA = $650 + $620
ELL = $350+ $620
DC
= $350 + $620
C =
$350 + $620
LLA = $350 + $620
CP = $100
Costs Sec. 17.71
Proof of Ownership - Used to confirm ownership of the property.
Atmos Energy(Gas), Sangre de Cristo Electric, Buena Vista Sanitation District
2 Professionally prepared Plats, See Plat Requirements. Must meet the requirements stated in
Article IV of the development code. 17-27 (b)
License Land Surveyor [17-36(b)(1)(b)] All plats required or authorized by these regulations shall
be prepared by
a licensed land surveyor at a scale not more than one (1) inch equals one hundred
(100) feet.Sheets shall be twenty-four inches by thirty six inches (24” x 36”).
Survey - A survey performed by a licensed Colorado surveyor showing property lines, lot dimensions,
easements, all structures, utility locations, flood plain, water features, etc.
Illustration of all adjusted/eliminated/new Lot lines and lots
See Sec. 38-51-106 Colorado Revised Statutes For Additional Requirements
LEGAL DISCLAIMER
/ / 20
Date
/ / 20
Date
Applicant Signature
Owners Signature
/ / 20
Date:
Admin Approval:
Reviewer Name:
/ / 20
For Town Staff Only
/ / 20
Date Submitted:
Date Reviewed:
Planning Approval:
Notes
Title Commitment - Required for subject property, may be required for adjoining parcels.
Park Fee In Lieu- $646 Required for each additional lot
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