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ADDRESS 163 & 165 Stanley Circle Dr 2022-06-13
06/,3/20 Received Date Received By wBeur Town of Estes Park ASSIGNMENT OF ADDRESS Community Development 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 General Info (970) 577-3717 • FAX (970) 586-0249 • E-mail: r • www.estes.orq Owner Name: Park Hospital District Address: 163 & 165 Stanley Circle Dr //. 7 40/ Parcel Number: 3525105918 v• ..35:257059©/ Legal Description: #163 = LOT 18, LESS 1409-381, LITTLE PROSPECT MTN, ESTES PK AND (SEE BELOW*** #165) (Lot) Phone #: Fax #: Mailing Address: PO Box 2740 City: Estes Park (Block) (Tract) (Subdivision) Email: GHaII@eph.org Preferred Contact: El Phone ❑ Fax ❑j Email State: CO Zip Code:80517 OWNER'S SECTION: I am officially requesting my current address, 163 & 165 Stanley Circle Dr be changed to Reverse numbering of 163 & 165 to correct number ordering on the road certify that I am the legal owner of said property. Print Name Gary Hall Signature Owner responsibilities are on the back side of this sheet. Date 06/13/2022 Effective Immediately the current address, has been officially changed to Reverse Reason for change: #163 becomes 165, *** Office Use Only 163 & 165 *** Stanley Circle number Dr. numbering to correct ordering on the road and #165 becomes 163. See attached map with notes. ***LOT 18, LITTLE PROS MTN, ESTES PK, EX POR DESC AS BEG AT E 1/4 COR 25-5-73, N 13 52' W 31.10 FT TO PT ON S LN OF LOT 19; N 89 38' W 127.39 FT TO SE COR LOT 18; N 89 38' W 183.20 FT TPOB; N 89 38' W 175 FT TO SW COR LOT Fee $100.00/hour (one hour minimum) Building Official Date LauraJane Baur, Planning Tech. 06/13/2022 Total $ 0.00 Path: Page 1 of 2 L:1Comm DevlAddressFiles11.AddressChangeslAddress Change Application.doc Revised 7/18/2019 7%4,0 Aw \ �y.�...� � ^ « a . y m IIlue