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HomeMy WebLinkAboutSURVEY - Water Tap - 2810 Tunnel Rd - 1990i n ~ l=- J l=-n 3 n rT"l 0 c ::z --4 ::::::: c: -I s -< -0 m ,.,, ~ 0 -n c::: z --I ~ 0 °' ::::::::: b :i> l -I en ,.,, :::c -0 iT'1 Cl) :::0 c::: ~ 3 ::0 -< -I rT'1 ...} -< :::::: f c::: 3: °' iT'1 :::c -I ~ l=- ""'O ~ ,, --4 -rT'1 m ...r. rT'1 z U) -c::: uJ 3i: I o:i J.J C"T'1 :::c t.v 1 ..i) -TOWN OF ESTES PARK 'Nt ·,bt413 Date 5-;z3,..CJ 0 WATER DEPARTMENT CONNECT FEE Owner~~cQ~ Address lo Bog l4e.g0 ~~ '-:f-~ ~. ·aJE.. 7:2.qo3 Units • .... " .-. .. ~ Fi><tures i;u ~ "'. • Received of ~ '/11.-e.. ~ Sum of $ 3 Lj 3 3. 3 0 FOR: T11p Fee I:, 3i'.oo Water Rights I C/D{), Oo Tapping Materials 5S.O ll 3/'-1-'· Meter) J Q5, 3 O Read/Out __ .,.['----------------''"' Date of Service _ 5-~3-Of/ By Plumbers ... __,...;;.. ..... ____ . --~ --·-· ..... -.. -., ..........• 4•• ---... ---...- ?-.9·' ._,_ ... ,······· -~ 1c~.i~t ___ )1.1.~~a_itt------·----·-··-__.kv ...ta ik'1--a.~1'L._.. _______________ ~-DATE: __ :!)2;(tj7_j_f._<j_t.' ----... (;:[,' JO::: ~~ QUA~iTITY £.l :~_i"-~r~E }"'.ii~£: ___ --·------·-··--·--_ _f.C9 ~;~~=--_v!~~:Y.-~~---------~tU_f!I_'f:i(G ____ ?:i£W ____________ _!.Q.I!~~-------R.·d rit·ub Ut"in~~ini founta.f.n (cool~r) Drink i 113 fount.1. in (puhl ic:.) Kitc1w~1 sink, ~11 contHH:tlon I.~vatory, 3/S" connection J.:=um<l t7 tray, ~11 conn,"c t ion Sho;..'<'.!r hc.:id (shmh:r only) S,'?rvicc sink, ~" coru1e:ct io11 Urinal, pedestal flu~h valve Wall or stall Trough (2' unit) Wat•'r clo~~t, flush valve Tr.nk type Dishwash~r. 1i" connection W.:ishint; m;ichine, ~" conn~ction HCI~;,'! bib, !i" conncc tion OTHER: Per;;1 it tee: 8 l 2 3 2 3 4 3 --------~-··-------~ 2 .,.,, 3 4 5 -----··-----··· 6 ·-;.... -·------'·----·-8 ;, ::.._'/: ___ ····-s../; _ _} __ -~-__1o---\_ -· ------' TOTAL: . ·· -------31 -------------------·-•-4•------··---···4·-·· ...... --------------·-~---------··-··-··· -By: Date: ---4-~ TOWN OF ESTES PARK -WATER DEPARTMENT REQUEST FOR WATER SERVICE Taken by f) .:tt.L .. ;vn,:.,..,_ .11 f Date 1z'71 I I 9 q(! ' ,-" CP Name ,rnrs. ID. ro ~~ fak;t (JY1ax43·tj Address ~ 7v~Jl-e.·1fan4 h4,vi e --:'2f(lt! 7 c.1nhel Raa df') .. ·fe5/~r-K ,1 Qo/o, F+,s·).,, .. th JJry k. 'r/.P-9{)3 Telephone J ,_.., 3 .. ?-'i['l -,";5 75-(; q t'-s-1; 'T ~le: -6-o 1-4 :;-:J.. -1scJ i ~-~n?<:'r-da_kiJ:i Loe at ion :7. 5( I(,/ --;;,..( n h -e I F? aa d. .g,,,j 'Tl:i.L<co1.l. .• 1~_mt11/ Type of Unit l!AStN Number of Units ' Number of Fixtures __ 3__.tf.__ ____ _ The undersigned assumes responsibility for any and all engineering and legal costs incurred by the Town in processing this Request for Water Service. Signature ?2 'rz.2«if /i'. 'IJZ C.r a ''&i . -=· Representative Is the property described a~e within the Northern Colorado Water Con-servancy District? Yes. V No __ _ Wf''-' Is the property described above below in elevation? Yes No .V .A 9 6 "' ---·--~--~ Conf inned Date ;;//r., /, u Committee Action -·-·-----~~--------~~----~~-----~--~----~-----Town Board Action Superinte~dent's Recommendation Customer Notified -----------------~----Tap Number :t± I '-f £3_ .. 5' -:2.. 3-9'n Expiration Date #I/I . ;'].., ' . ,/. _J }_ ~jrr___:~1J__~6.~~1tt -·-----·-·-.kv .LO~_J!.~---------?-;:"-_>: ~:: JOi-~: FlX1'L'r~E TYPE B:1 t:h tub Drinkin~ fountain (cooler) Drinking fount~in (public) Kitchen sink, ~" connection I.:w.n. tory, 3/8" connection L::\ttu<lry tray, ~" connection Shower head (shower only) Set·vice sink, ~" connection Urinal, pedestal flush valve Wall or stall Trough (2' unit) Wet~r closet, flush valve Tank type D • t h LU • i.s.iw-as er, -:z connection W.:i.shing machine, ~" connection Hos•°! bib, !l' con nee. t ion OTHER: --•.. -· ·----------· --··----··--------· Per1!1i ttec: FIXTURE VALUE 8 1 2 3 2 3 4 3 ______ 25(_ .. ------~ 2 -----------·-----xr 3 4 5 6 "\ DATE: _!}1Ja!J1-rf-!i_'t.fL ______ ... __ CT) "/... ~~ QUA.:ITITY ..trnrsn NG NEW TOTAL -----------_____ , __ _ g ~ ;::__1-____ _ _!:l_ __ --~'-Cet -k--\: TOTAL: ?t ------·-··-----------------------------· By: Date: 0/1 ~ l tto _______ _ f I TOWN OF ESTES PARK Monte L. Vavra Finance Officer Estes Park, Colorado 80517 Larimer County Clerk & Recorder P. O. Box 1280 Ft. Collins, Co. 80522 Dear Sirs: May 231 1990 Please find enclosed two Applications for Water Tap outside Town Limits to be filed with your off ice. Town of Estes Park and Margot Mcclary. Town of Estes Park and H. D. and Marilyn L. Scroggs. Also enclosed is our check #5726 in the amount of $30.0o to cover the fee for 6 pages. Thank you for yout" help. ~~~ Lillian Szydlo, Customer Relations Encl: 2 - 3 page contract 1 -check P. 0. Box 1200 Telephone (303) 586-5331 f• V.kltl;.~h·f .......... ""• PROTEST FORM PRESORlED FIRST CLASS MAIL U.S. POSTAGE PAID t /. f~ '! "I C: ' 14 , I P( '° T ~--.J r· [' r ;· <' C ~t ·~ -•· L Er~+..-°1' 6'Mf~ ,, I ~ '1 \) . ~ , l; .. DAlE: • 1 L p . ' TV ft -Schedule Number Current Taxa~Yrar I Tax Area Code " ( r' l 4 '14 . -~J ~ -(' s ., ·1 1. I ·:, '..: ~ -; < T ! I l ' I I l . , f''1..· 0'm~r 'hi <t.Cf~ I) i· ·i Type of Property .. T 'L P":'O\f. '-·' r~ Before property tax rates are set. an assessment percent-age will be applied to the actual value of your property. '• . ,. .. I r L .r v1t; .. :i.':"'i.1 Legal Description of Property !May Be Incomplete) I'~ s:. L'4 1..1r 1.-4-7 r ?T "' t 1)r .:,r, . I. ~·f.: c:..•;.. N ,.\ '·1 ~,.. L • T; TH ~ t~G S~( l~ 7.f. Fi; "rM LH G ~(r L~ ~ R5 7'' ~ "(, f:!:,; T.,. ·'·LG ;:n R:' ./ L Vi . ; l :. U "v ~.Ill~ l Y Al . i:-l l'-4 i (' PT ,, F I ' ' • 1 I I; J y '. 7 .. ._., C' T .• 11 (Ot; 1 ., ; T "I ,.,.., F ·r I .... 6 ~-1\ () I j, •~***~L ;~ ~·~CRlLT?O~ T I.' r.. T • ••• ... Prior Year Actual Value ~ 2 t" c: "'36i:.5 1•• c: ,_ +Or -Change ( t. 7. I •,• < .. ' . Current Year Al:tual Value 1 1 5 ' c: .., The assessment percentage for residences is projected to be 1 %. Generally, all other property, including vacant land and personal property, is assessed at 29%, 39-1-104(1) and ( 1.5)(a}, C.R.S. A change in the projected residential assess-ment percentage is NOT grounds for protest or abatement of taxes, 39-5-121(1). C.R.S .. PROTEST HEARINGS WILL BE HELD: T r l • IPHY -~ () 'S 1F Fr!' r u· ---.r I 1 • ~ f y r. 0 u i, \; s ' { r.. ! ;) ,, ~ : t f 7 ( ~LI. I I· • r: F F ! c ( Ii') LJ p s ;. H E B ~ t,,., ~ ¢ • r n 4 ~ ~ • • !;) ~ ~ T t: c; T ~ 1'<1 ll ~ T I.~ r F n E t i! • f {I L "' I c (J ~ ,.~ ' D ll rr· s f: L F I I? :-. ~~ c E ~ ~: f L f· 1,1 • r' F () 'T t:. <:" T ~ c ((f:f·T~" ~y ..... L~P· ... 1 • L YOU MAY ELECT TO COMPLETE THIS FORM TO PROTEST YOUR PROPERTY VALUATION. PERSONAL PROPERTY VALUATION PROTESTS: If you disagree with the "current year actual Vlllue· determined for your property, you may file a written or oral protest with the County Assessor. Please refer to the Notice of Valuation for the deadline dates for filing protests. Completing the information on the back of this form will help you determine an estimate of value for your property, which can be compared with the value determined by the assessor. Colorado law requires consideration of the cost, market, and income approaches to value fur personal property. DOCUMENTATION -REASON FOR REQUESTING A REVIEW: -----------------------------If you feel the assessor's value is not correct. what, in your opinion. was the correct actual value of the property on January 1 of this year? __________ _ REAL PROPERTY VALUATION PROTESTS: If you disagree with the "current year actual value" or the classification determined for your property, you may file a written or oral protest with the County Assessor. Please refer to the Notice of Valuation for the deadline dates for filing protests. Completing the information on the back of this form will help you determine an estimate of value for your property, which can be compared to the value determined by the assessor. Colorado law requires consideration of the cast and market approaches to value for residential and apartment properties and the cost market. and income approaches to value for vacant land, commercial, and industrial properties. DOCUMENTATION -REASON FOR REQUESTING A REVIEW: ----------------------------ti you feel the assessor's value is not correct, what, in your opinit!'ii.,.twas lha..cltrect actual value of the property on June 30 of last year? ___________ _ 15-DPT-AD Form PR-212/213 (88/88) ~~~~~~~~-,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~·~~~~~~~~~~~~ .... ~~~ PERSONAL PROPERTY QUESTIONNAIRE ATTA.CH AODITIOr-JAL DOCUMENTS AS NECESSARY MARKET APPROACH: 'iilis ..;pproach to •:alue uses ~ales, !rom tt:''' pr<;vious y·1ar, to determi~e the .;-:111al vc:ue of your pro~.)rty on Jc.,1uary 1 of :his ye.1r. The followinr:: item~, if kn.:;•.:m, will :·1L1ri vou ~stimah the rnE.:•'kilt va!uE; of your pruperty. If av;iilaiJle, .:itt-;ch ,, ~opy o-: appr;.is2i or written e<timati. of " .. :1m, if condu'-t"C riuring the previous ye.lr. 'f~\IP. -.irP'l"Jr prorl'·lw·: s::iln c..;uring.~hb pre·1iol!~ y, ,,r? lJATi: SOLD lTEI\.: SELLING PRICE BasP.J O;~ thc.e s~les Jnd ci~~uunting for diffl.!re.1.~es i.Jetween S.Jl1 µroperties i;nd \'Ou1· property, ·,"h~t do vou t.;,;ii••ve 'iOUr property 1r.•ould ha\d sold for on Janui-ry 1 of thi~ ye<1r? ............ $ _________________________ _ COST t\PPROACH· This ~ppro~ch to v:J:ue u,..,s ;·eplcce-nent cost new, les.i 'ieJ;r"~iaticn, to determine ttie v.ilue of yuur property on J,,nuary 1 of this yec:r. Item__ Es~imt>tcd Replacement Cost New <:: So<.:rce_~-------------------Have changf'c f-.een niade to the pro,...erty, 1.e., refurbishinr. n:condition111g; audition of con:nommts; etc.? ___ NO ___ YES If re~ giv.:: date, Ge~crii;tinn, and estirr'.ltf' co;;t: Is you" eri:.Ji,,me··:t in a •ypk:;,.l (:t:>ndhinn fl'lr it5 c'!ry? ___________ If r.o\why?_·---.-__ -· --·---~----·-----------Bij~rd 0;1 t'1e onginal acqui,iticn .ind the co~t of Jny ch.ong!?S, less depreciation. estimate the tJt(ji v?.1u.: n~' tha ;:impcrw Js·;if J:mu,ry 1 of this i1e:i1 ................................... $ __________________________ _ INCQME APt'ROACl1: This arp~oach to v;,~uA converts economic net income, from th:,-praviow: yEar, into preLent worth 0;1 January 1 of this year. If yo•Jr property was renteC.: or leased c!u ring the pn:vi ous year, ~ttach opernting statements showinlJ rental and ..,xpense emount for this property. If known, list r<-'n1" oi r.:omµarable equipment negotiated during thE' rreviouJ ye.ar. I'!' an apJ)rais;;I using thtJ income approach ....-~s conducted durin~ thE! p:·~viou;; year, please ~:t<·;:h. ----------"·----' t~~--..---REAL PROPERTY QUESTIONNAIRE THE INFORMA.TION YOJ FURNISH BELOW MUST BE FROM THE 18-MONTH PERIOD ENDING JUNE 30 OF LAST YEAR." ATT,'.\CH ADDITIONl\L DOCUMENTS AS NECESSARY. MARKET _l>.PPROACH: This ~pproach to value u:..:;> snle:;, flam the 18-month period emJing Ju;.e 30 of last year,• to determine tl1e actu.:I value of your pro;ierty 01; June :."O of last year. Thi• fol:owing items, if kno~v •. , wil: ;.elp yuu e~timate the m..irket vc:lue of your property. iTdvailable, ::ittc,,;1 a copy o~ any appraisa' 01 wri'"ton e:.tim2te of 11.Jlue. H.;ve similar p1aperti'!s i;i yo!ir immediate ne1ghb:irhood sold? DATE SOLD PROPERTY ADDRESS SELLING PRICE ----------.. ..:...·--------·-·-Based 011 ti'lese sol=5. and accnuntin9 for differences 'ietween sold propertiils and your propert·,1. •~hat do yoo..113elieveyour propkty wou:tl i1ave sold fa~ c.n Ju,11:! 30 of.1ast year? .............. $-------------~. COSl ·APPROACH. This apiJ:·oach ta va1ue uses replact!me11!.constru"tio:i c.osts, from the 18·month period ending June 30 of last y_ear,* ~o.determi:1e the value of yc-ur propi.rty on June 30 of last year. The. Fo:Jowin~ items;if knpwn, will help you "stimate the replacement cost of yol!r propertV ;. vear EJuilt BuilrJer ---· Original Construction Co5t ______ ~-------H:we changes been ;-nade tu the 1.m.>perty. i.e .. remr,ddiog of bath or kitchen; convo;rsion of oatio or garage to living area; add1i.lo11 of pstio, garage, new rcioms, or ·1r11sheci bascmtm•? ____ ND YES If yes, give date, description, and estimated cost: · DATF ['IESCRIPTION ESTIMATED COST ----------· It y<,ur hour':' it• w1m:al •:ondmuii f('{ it" agP,7 If nvt, ~•hY~--·-------------Based on the ori~inal cost ol construction anti of :my changf's, adjustt;d tc costs as of .!•JliB 30 of la'll' '{Qar.-estimate th\> ~otai \l,~lue nf ~·cur property, . . . . . . .• '''":. . . $_;_ ___ ._,~.' -----INCOME APPROACH: (USE FOR NON-RESIDENTAL PROPtF:TIES ONLY) This ap~mac:h to .,al..Je converts econcrntc net ir'oo•.'le, from the 18-month period ending.June 30 of-11\St year,* int.O·~rnse1;t wor1:1 on June 31) of last year. l(your property \'/B.i rente<:l Or leased, attach '.Jperatingst;::tementS.§h~w.ing rental and expense <:mounts for tilis property. Indicate ~quare foot re11tJI rat: for all tenanthl '.'llho negotiuteri lE:ases. (Attach rent schcdul<.:) Ii f:nown, !ist rents of r.omparahlr proµerties. r• 1·: dllailahle, :ittach op;irating St<'t&ments 3hmvinq ront,J i;nd expene'.) amou.1ts kr comr.Jrabl<: prcperties. I'. an epprai~al using t:11> income approach wa·-con.':lucted, pleas.; attach . . AG.ENT ASSIGNMENT· I autt.ori~" the b~lov.-<iamf'd uaent t-:i •-.c~on my behalf regun1in~ the proroerty t~>: valuation of th~ prop'lrty desr.ribecl her.,•n for the year ____________ _ AQen-:'s N;;mL' lr.-lea~;, p:int): T~lephone Number:._. __ _ ow:ier's Signaturd: _ Dati;;. ________________ _ Pl.iase m.:iil all co,nn!)unden;a re\).;n..iing this protest tc the abuv~-named agen~ .. -,t th~ follo•111inro addre~s:__ _ I m::r.ar,· no.ne and tell';J!ion~· n.imhilr for a rersr;r. •he ~-.sL·sscr ;n'"'/ c•>nt~,;t if an cn-o,;ite inspecdo'.1b11.:c'?s~ary: ____________________________ _ . . VERIFICATION: I, ti1e u:1der"i(lned OV'm~r tr aiient of thi;; prope. tv. ,.tate tho.it the information :md far.ts contained herein ar.d on any attachment cnrn.l1tute m .. e .. ;nd cr·m;..let'~ ::tatcment. cnn~.:rniLg tr.e de~i:rit~d property. Sign-.t·ir~------------------Date ______________ _ •1F DAT•"< IS IN~UFFICIE~TD'JRING THIS TIME PERIOD, />SSESS:>F:~ MAY USE DATA Ff'OM THE 5-YEAR ?'EF.IOD ENDING JUNE :JO OF LAST YEAR. i n ~ l=- J l=-n 3 n rT"l 0 c ::z --4 ::::::: c: -I s -< -0 m ,.,, ~ 0 -n c::: z --I ~ 0 °' ::::::::: b :i> l -I en ,.,, :::c -0 iT'1 Cl) :::0 c::: ~ 3 ::0 -< -I rT'1 ...} -< :::::: f c::: 3: °' iT'1 :::c -I ~ l=- ""'O ~ ,, --4 -rT'1 m ...r. rT'1 z U) -c::: uJ 3i: I o:i J.J C"T'1 :::c t.v 1 ..i) -TOWN OF ESTES PARK 'Nt ·,bt413 Date 5-;z3,..CJ 0 WATER DEPARTMENT CONNECT FEE Owner~~cQ~ Address lo Bog l4e.g0 ~~ '-:f-~ ~. ·aJE.. 7:2.qo3 Units • .... " .-. .. ~ Fi><tures i;u ~ "'. • Received of ~ '/11.-e.. ~ Sum of $ 3 Lj 3 3. 3 0 FOR: T11p Fee I:, 3i'.oo Water Rights I C/D{), Oo Tapping Materials 5S.O ll 3/'-1-'· Meter) J Q5, 3 O Read/Out __ .,.['----------------''"' Date of Service _ 5-~3-Of/ By Plumbers ... __,...;;.. ..... ____ . --~ --·-· ..... -.. -., ..........• 4•• ---... ---...- ?-.9·' ._,_ ... ,······· -~ 1c~.i~t ___ )1.1.~~a_itt------·----·-··-__.kv ...ta ik'1--a.~1'L._.. _______________ ~-DATE: __ :!)2;(tj7_j_f._<j_t.' ----... (;:[,' JO::: ~~ QUA~iTITY £.l :~_i"-~r~E }"'.ii~£: ___ --·------·-··--·--_ _f.C9 ~;~~=--_v!~~:Y.-~~---------~tU_f!I_'f:i(G ____ ?:i£W ____________ _!.Q.I!~~-------R.·d rit·ub Ut"in~~ini founta.f.n (cool~r) Drink i 113 fount.1. in (puhl ic:.) Kitc1w~1 sink, ~11 contHH:tlon I.~vatory, 3/S" connection J.:=um<l t7 tray, ~11 conn,"c t ion Sho;..'<'.!r hc.:id (shmh:r only) S,'?rvicc sink, ~" coru1e:ct io11 Urinal, pedestal flu~h valve Wall or stall Trough (2' unit) Wat•'r clo~~t, flush valve Tr.nk type Dishwash~r. 1i" connection W.:ishint; m;ichine, ~" conn~ction HCI~;,'! bib, !i" conncc tion OTHER: Per;;1 it tee: 8 l 2 3 2 3 4 3 --------~-··-------~ 2 .,.,, 3 4 5 -----··-----··· 6 ·-;.... -·------'·----·-8 ;, ::.._'/: ___ ····-s../; _ _} __ -~-__1o---\_ -· ------' TOTAL: . ·· -------31 -------------------·-•-4•------··---···4·-·· ...... --------------·-~---------··-··-··· -By: Date: ---4-~ 00 00 .. LO~ ...... ~ Pi! I i:..:i J:&4 i"'l J:zl fz-4 "" u 0 A Pil 00 E-1 IZl < ~E-t <oo '1.l # 0 0 0\ :>i LO E-t ··Z t-:::::> NO .. u ...... ...... ~ ~ H 0 ll:f 0\ < 'i-.:1 ~ N .. ......... ~ U1~ OA ll:f 0 u t.O Pil o~ 0 N~ ~ ril 0 I:!) 0 o:< 0\ ril .l:l '**' z Pil zo '=""' 0 114 &t; u ~~ APPLICATION FOR WATER TAP OUTSIDE TOWN LIMITS TO THE BOARD OF TRUSTEES OF THE TOWN OF ESTES PARK, COLORADO: The undersigned owner of the following described property outside the corporate limits of the town of Estes Park, Colorado, to wit: .(Insert description of property as shown in the owner's deed or equivalent source). ;-:-·· __ ,,.,_ ,..'='1.,, r .. Ara Codi logal Demiplion al "'"""Y (May 81 Ir<~ "lil~Cr.i.'1 34n.:.,;-:F1-rs1 1Q~'I 1C7 Tll l'I Si; 1/4 or l-t,-73, '1tG ~T PT .. 011 l r--------------1---'---------l L'· 0 r S ll 1/ 4 S ~ (!.•ti N r: (UR r. ~ U.::; N II h I, • 6 c,jA .. A 11 ll lOtJ"-l PAN!( fl; TH ~ q,G SH LN H 7 06 f T ~ ·TH lOV HIU'HH f--"rn~<iA'T">n'Cf#MJ Ii;(; Hr l'4 ~ f."> '14 .. o,; 2~1.? J"T .. 'r~ CHi 0 . Q . U F 'V ~D; TN ~LG CO RD N ~3 25' W 1?0 FT fAR~!~_., AT 1'.'lH '·•IL ff) ~ U. ~r Ali:.MS T\JNNF.'.L ,ltJ>; TH l;ll:A~A :-O[l 6:'11 'l~ ~F<l Y ,l.L G !i D f l'I l(I PT \JH l S S &9 ,{17 .. IJ Of ~n~; lH " 59 07' f 3~~.s FT ~IL TC 't "·!~ FQS, CO~T ~.i1 ACRE~"'~ t ALSO P~R ••~•••L[G~l 'r~CRJPTlON TRDNC~l~D•••••• does hereby apply to the Town of Estes Park, Colorado, for permission to ta~ an Estes Park waterworks distribution main at (Insert place and size of tap requested). 1 -3/4" Residential Tap 340!.,oc:iooS-J for the purpose of supplying water to said property. It is expressly understood and agreed by the undersigned that, if granted, the use of town water on said property shall be in consideration of and upon the following terms and conditions, to wit: 1. That applicant shall pay all fees, costs or charges incident to making said tap, as provided by the town for water users outside the town limits. 2. That, the undersigned understands and agrees that it is his responsibility to connect his service line to the town's water main. The undersigned further understands and agrees that the town does not warrant the present actual physical location of its water mains. The town does not warrant that its present map of its water system accur~tely reflects the location of its water mains. The undersigned also further understands that the location of the town's water mains by above ground sensing equipment may not be accurate. Any work or determinations by the applicant prior to the actual physical uncovering of the water mains is done at the applicants risk. 3. That the town will furnish a water meter and other appurtenances of such size and at such locations as may be desired by the town. The cost of such meter and appurtenances, and the installation thereof, shall be at the expense of the property owner and said meter and appurtenances shall remain the property of the town. 4. That, if the property to be served by said tap shall ever be included within the boundaries of a territory which is sought to be annexed to the town of Estes Park, Colorado, either by proceedings initiated by landowners or the town itself, then and in that event, the undersigned specifi~ally agrees that he will consent to and join in the annexation of such territory by the town of Estes Park, Colorado; and that the undersigned will comply -with all of the legal requirements and conditions pertaining to the annexation of territory to the town of Estes Park, Colorado, including the payment of all fees and expenses related to such annexation, such as, but not limited to, the payment of area charges, the donation of land for recreation purposes and the furnishing of water or water rights as may be required at the time of annexation. It is understood by the undersigned that the primary consideration for the CD (\) 3 ~ 8 0 I-' ~ ~ 8 .. IE. ~ ::0 ~ @ ~ a. 1-3 ig ...... ~ ...... w :c w I \.0 0 ,-·, i~ ~lk -;t.O. { /~~IMJih~ Pt'~I/ , .. /, 0 . r granting of an application for a water tap, if such application is granted, is the undersigned's covenant and promise that he will consent to the annexation of said territory to the town of Estes Park, Colorado, pay all fees and expenses as aforesaid an<l sign all petitions and maps pertaining thereto. Applicant further covenants and agrees for himself, his.heirs and assigns that, if he fails to sign any such annexation petitions and maps when the above de-scribed property is included therein or fails to abide by each and every covenant herein contained, then and in that event, use of town water on the above property may be terminated by the town of Estes Park, Colorado, upon the giving of thirty days' notice in writing of its intention so to do. Furthermore, the undersigned does hereby empower and irrevocably authorize and appoint the act-ing town clerk of the town of Estes Park, Colorado, his lawful attorney-in-fact for him and in his place and stead, to sign, on behalf of the undersigned, any such annexation petitions and maps including the above described property therein, thereby binding the undersigned to all of the terms and provisions of said petitions and maps as fully as he might do himself and for all intents and purposes as if he himself had signed said petitions and maps. This power of attorney shall not be affected by the disability of prin-cipal. This appointment shall not preclude the town of Estes Park, Colorado, from undertaking any other available action which may be necessary to enforce the provisions of this application. S. That applicant agrees to abide by all of the rules, reg-ulations and ordinances of the town of Estes Park, Colorado, and the laws of the State of Colorado pertaining to the use of said water and to pay the fees and charges therefor. 6.· That the applicant agrees, in connection with water to be furnished to any improvements to be placed on_any of the above described property before said improvements are placed thereon, that the location and construction of the same shall be approved by the town engineer of the town of Estes Park, Colorado, to the end that the zoning, subdivision and building requirements of the town will be met to the extent desired by the town in the same manner as if the above described property were within the town· limits. 7. That all of the terms and conditions herein set forth shall extend to and be binding upon the heirs, assigns or succes-sors in interest of the undersigned, and be considered as a cove-nant running with the above described land. Furthermore, it is agreed that, in accepting title to the above described property, any grantee, heir, assign or· successor in interest to the under-signed expressly agrees to be bou~d by the terms hereof, including, but not limited to, the appointment of the acting town clerk as attorney-in-fact for· the purposes set·forth in Paragraph 3 above. 8. That, until such time as the above described property is annexed to and becomes a part of the town of Estes Park, Colorado, service of water to said property by the town is limited to what-ever surplus water the town may have available, and the right of the applicant to receive service of water shall be subject to the prior rights of water users located within the town limits. 9. That said water tap shall be used to furnish water to one dwelling, business or residence only and each dwelling, business or residence must be served by a separate tap; and that the applicant shall not sell water from said tap to any other person or permit water from said tap to be used by anyone or any other property than the above described. 10. That the water furnished by the town will be used by the applicant for domestic use and consumption. 11. That this ():)plication shall be recorded pursu·ant to the provisions of Colorad~ Statutes; and that 'the town may undertake any action legally av~ilable to enforce the provisions hereof in addition to any remedy herein provided for. In the event the town is required to undertake any action to enforce the terms hereof, o'>· : 9:J the undersigned and his heirs a~d assig~s~agree that the town may recove~ from the then-owners of said property its reasonable ex-penses, including ~ttorney's fees incurred with respect to such action. 12. That, if any section, sections or provision of this appli-cation is declared invalid for any reason whatsoever by any compe-tent court, such invalidity shall not affect any other sections or provisions of this application if they can be given effect without the invalid section, sections or provision. 13. That the following grammatical rules shall apply to this application: any gender includes the other genders; the singular number includes the plural and vice versa; words used in.the pres-ent tense include the past and future tenses antl vice versa, unless manifestly inapplicable; and the words shall be construed according to context and approved usage of language. l~. That, if· the applicant is a corporation, it has the power to enter into this application, and its officers signing for it have full power and authority to do so. In the event such power does not exist or has not been granted, water service from the above water tap may be terminated by the town of Estes Park, Colorado, upon the giving of thirty days' notice in writing of its intention so to do. 15• That, if the person or corporation signing this applica-~ion is not the owner of the real property described above, the tap granted in accordance with this application shall become null and void, and all water service through the same may be terminated by the town of Estes Park, Colorado. IN WITNESS WHEREOF, the applicant has hereunto set his hand and seal this 5 day of 'CV'\0...-V\ , 19 <q(J ~-c ~-The following statement is, and is intended to be, represented as a sworn statement and an "oath" as defined by section 18-8-501, C.R.S. 1973. (WARNING: A person conunits a Class 1 petty offense if he makes a materially false statement, other than those prohibited by sections 18-8-502 and 18-8-503, C.R.S. 1973, which he does not believe to be true, under an oath required or authorized by law.) STATE OF {\((_ County of ~_).() ) SS. being first duly sworn upon oath, depose(s) and say(s): that the heretofore named person (s) or corporation Cs) is (are) the owner{s) of the above described real property; that has (have) read the above application and know(s) the contents thereof; and that the matters stated therein are true. _/.1)-,/) Al A -~ C/L.'J / ~ /)~ .{,..tf. V/ /' ( ovr n. n II i (f ~ ---(j' p> (} Subscribed and sworn to before me this ~~~~~~-' 19~, by ~ day.·)?£.:J)');i~1 • ·-f ... -( .... -.... ·~~-~· ~-~ .: ~--. l ... j ... _ • ·" ... ~ ~ ; . > . ;_ ' ' . ' ~ .. ~ ,,·.·· h~i 1 Witness my hand and official seal. ::._ ·. :•_,-:t~ .• ~:i /''t °' -\ • q Le .·. . • '·, :·,. •, o.o••>::.:: .. .',-} My commission expires KATIE Yl:RINA NOTARY PUBLIC SEBASTIAN COUNTY ARKANSAS ------------~"----.. -..,·~ .. -~: :~t\ ·-~~ ~~ ... ·:·· £n..~ ({),~~·~····· 7 ' ( '"· Nott'3Y Public _,..;.