CITY OF GREEN RIVER, WYOMING 50 East 2 nd North, Green River, Wyoming Phone (307) Fax (307)

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CITY OF GREEN RIVER, WYOMING 50 East 2 nd North, Green River, Wyoming 82935 Phone (307) 872-6140 Fax (307) 872-0510 DEVELOPMENT REVIEW APPLICATION For Staff Use Only: Date: File Number: File Name: This application shall be used for all land development applications including all subdivisions, lot splits, plats, vacations, replats, annexations, lot line adjustments, rezone requests, use permits and compliance plats in the City of Green River. A. Property Information 1. Property Address or Location of Property (see Department if physical address is needed): 2. Subdivision Name (if platted): 3. Lot: Block: 4. Present Zoning Classification: 5. (If Rezone) Proposed Zoning Classification: 6. Flood Zone Category: 7. Property Size (to the nearest 1/10 th of an acre or sq. ft.): 8. Existing Use(s) of Subject Property (i.e., vacant, residence, commercial, etc): 9. Surrounding Use(s) of Land (i.e., vacant, residence, industrial, etc.): north: east: 10. south: west: 11. Description of Proposed Activity or Use (attach separate sheet if necessary): B. OWNERS/NAMES 12. Name of Property Owner: Address: City of Green River, Wyoming Development Review Application 1 of 5

Telephone: Fax: Internet Address: Name of Property Owner: Address: Telephone: Fax: Internet Address: Attach sheet with additional names, if necessary. Name of Agent: Contact Person: Address: Telephone: Fax: Internet Address: Name of Engineer (if different from above): Contact Person: Address: Telephone: Fax: Internet Address: NOTE: unless otherwise noted, all written correspondence will be mailed or e-mailed to the agent. If there is no agent, comments will be sent to the property owner. C. SIGNATURE I hereby certify that the information in this application is true and correct. I have read this application and understand that other review processes and fees may be required prior to applying for and receiving Building Permits and/or final development or plat approval. (Signature of Property Owner) City of Green River, Wyoming Development Review Application 2 of 5

D. PRE-APPLICATION CONFERENCE Pre-application conferences are required prior to submittal for a rezone to PUD and for all subdivision requests (except minor subdivisions) and are encouraged for all other applications. The purpose of these meetings is to discuss the proposed development and to become familiar with Code requirements and procedures. E. SUBMISSION REVIEW All applications shall be reviewed for completeness. Incomplete applications will not be processed. The applicant is responsible to submit all information and have an application signed by the property owner. F. DEVELOPMENT REVIEW COMMITTEE (DRC) After the application has been logged in and assigned a number, it is routed for review by the Development Review Committee (DRC). Comments will be available from the DRC members the following day in most cases. Large projects or busy development weeks may require longer review times. It is the applicant s responsibility to address the concerns of the DRC members either individually, or, if the applicant believes a meeting with the DRC members is needed to discuss interdepartmental concerns, a request may be made to Jennie Melvin at (307)872-0592, email jmelvin@cityofgreenriver.org for a meeting date. DRC is generally conducted within one week of receipt of the accepted development application. The cutoff date for an application to be received is 4:00 p.m. Thursday afternoon of the week before the meeting. DRC is held every Thursday afternoon, barring holidays. DRC comments are generally available by the Friday after the DRC date. Dates and schedules are available in the Department. G. PUBLIC HEARINGS If the City Code requires a public hearing, the date will be scheduled after DRC review and comment and the application is deemed complete. Newspaper advertising for public hearings will be handled by the Department. H. NOTICE TO APPLICANT Approval of this request is not an approval to begin construction. Prior to any construction, other review processes including building permit, construction drawing approval, subdivision platting or other plans may also be required for review and approval. Regardless of the size of your project, building permits are the final step for new construction. Fees will be required for building permits. Deviations from the approved plan or plat or failure to comply with any requirements as imposed by the City Council or their designee may void these approvals. City of Green River, Wyoming Development Review Application 3 of 5

I. ADDITIONAL INFORMATION Zoning, floodplain location and other information is available on the City web page at www.cityofgreenriver.org. Go to the Department section of the web page to find information available online. CONTACT: Department 50 E. 2 nd North Green River, Wyoming 82935 Telephone: (307) 872-6140 Fax Number: (307) 872-0510 City of Green River, Wyoming Development Review Application 4 of 5

Development Review Committee Distribution List Allan Wilson Director, P&R Department 307-872-6147 awilson@cityofgreenriver.org Amy Votruba Questar 307-352-7780 amy.votruba@questar.com PO Box 1450, RS WY 82902 Brian Jackson Sweetwater Television 307-362-3773 swtvtech@sweetwaterhsa.com 602 Broadway, RS WY 82901 Bryan Seppie Joint Powers Water Board 307-875-4317 bseppie@jpwb.org PO Box 1299, GR WY 82935 ext. 224 Mark Westenskow City Engineer, Public Works 307-872-0525 mwestenskow@cityofgreenriver.org David Allred Senior Building Inspector 307-872-6144 dallred@cityofgreenriver.org Jason Palmer Acting Utilities Manager, Public Works 307-872-6334 jpalmer@cityofgreenriver.org Catherine Ball Centurylink 2196 Century Blvd., RS WY 82901 307-382-2362 Catherine.Ball@centurylink.com Jason Brown GIS Specialist 307-872-6142 jbrown@cityofgreenriver.org Kathie Mulkey DEQ-Water Quality Division 307-352-2564 kathie.mulkey@wyo.gov 2451 Foothill Blvd. #100, RS WY 82901 Linda Roosa Sanitation Supervisor, Public Works 307-872-0531 lroosa@cityofgreenriver.org Mark Baron DEQ 307-335-6962 mbaron@wyo.gov Heidi Krause Rocky Mountain Power 307-352-5208 heidi.krause@pacificorp.com 415 N Street, Rock Springs, WY 82901 307-212-1164(c) Mike Kennedy Fire Chief, Fire Department 307-872-0545 mkennedy@cityofgreenriver.org Mike Nelson Director, Public Works 307-872-0532 mnelson@cityofgreenriver.org Randy Koloff Streets Supervisor, Public Works 307-872-0564 rkoloff@cityofgreenriver.org Steve Bacon CIG 719-520-4713 steve.bacon@elpaso.com Laura Leigh Director, 307-872-6146 laleigh@cityofgreenriver.org Jennie Melvin Zoning and Building Technician, 307-872-0592 jmelvin@cityofgreenriver.org Marty Black City Administrator 307-872-0554 black@cityofgreenriver.org City of Green River, Wyoming Development Review Application 5 of 5