Laserfiche WebLink
LAND USE APPLICATION FORM <br />Teller County Community Development Services <br />Post Office Box 1886 • Woodland Park, CO 80866 <br />(719) 687 -3048 • FAX: (719) 687 -5256 <br />❑ Amended Final Plat <br />❑ Amendment to Official Zone Map (Rezone) <br />❑ Combined Sketch /Preliminary ( /Subdivision) <br />❑ Combined Sketch /Preliminary (PUD) <br />❑ Final Plat <br />❑ Interior Lot Line Vacation <br />❑ Location & Extent <br />❑ Minor Infill Subdivision <br />❑ Preliminary Plan (Subdivision) <br />❑ PUD (Sketch or Preliminary) <br />❑ Sketch Plan (Subdivision) <br />❑ Zoninq Variance <br />❑ Special District <br />❑ Special Exemption Plat <br />❑ Special Review Use Permit: <br />❑ Conditional Use for <br />❑ Special Use <br />for <br />(10 -08 -2009) <br />❑ 1041 <br />X Other: Appendix A - Cripple Creek Mining Overlay <br />❑ PROJECT NAME: Cresson Project - Mine Life Extension 2 <br />❑ APPLICATION FEE AMOUNT (must be attached): $5,000 <br />IF MORE THAN ONE PROPERTY OWNER, ALL PROPERTY OWNERS MUST BE LISTED (attach list) <br />Name: Cripple Creek & Victor Gold Mining Company (CC &V) Timm Comer is contact person <br />Mailing Address: P.O. Box 191, Victor, CO 80860 <br />Phone: Office: (719) 689 -4055 <br />Home: <br />Fax: (719) 689 -3254 Email tcomer @anglogoldashantina.com <br />X (1) TITLE COMMITMENT, TITLE GUARANTEE, TITLE COMPANY OWNERSHIP & ENCUMBRANCE <br />REPORT, OR ATTORNEY'S TITLE OPINION; OR Source of Legal Right to Enter is included in Attachment 1 <br />❑ DEED(S) as required <br />X ADJACENT PROPERTY OWNERS LIST names & addresses See Attachment 1, Section 3.D.2(d) <br />® ADJACENT PROPERTY OWNERS MAILING LABELS See Attachment 2 <br />X MINERALS INTEREST FORM AND LIST as required See Attchment 1, Section 3.D.2(d) <br />X SPECIFIC APPLICATION SUBMITTAL MATERIALS See Attachment 1 <br />Name: Cripple Creek & Victor Gold Mining Company <br />Mailing Address: P.O. Box 191, Victor, CO 80860 <br />Phone: Office: (719) 689 -4055 <br />Fax: (719) 689 -3254 <br />Home: <br />Email: tcomer @anglogoidashantina.com <br />❑ WRITTEN, NOTARIZED, AUTHORIZATION AND CONSENT FROM ALL PROPERTY OWNERS FOR <br />AUTHORIZED AGENT TO ACT ON THEIR BEHALF <br />Page 1 of 4 <br />