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COUNTY OF ELBERT <br /> Community & Development Services M. ! <br /> P.O. BOX 7 <br /> 215 COMANCHE STREET <br /> KIOWA, COLORADO 80117 <br /> 303-621-3136 FAX: 303-621-3165 <br /> cds@elbertcounty-co.gov LT� <br /> DISCLOSURE LETTER <br /> PROJECT NAME: Elbert Gravel Pit Storage Facility <br /> PROJECT LOCATION: 25295 Elbert Road, Elbert Colorado 80106 <br /> Danny Paul Ardrey Trustee <br /> I/We, <br /> do hereby acknowledge my/our full awareness of the application/request being presented to Elbert County by <br /> for the parcel of land indicated, and for the reason(s) noted on the completed application/request submittal. <br /> I/We hereby acknowledge the person(s) noted is/are my/our authorized representative(s) in the matter. <br /> I/We hereby grant permission for the Elbert County Community & Development Services Department, or any <br /> referral agency they require, to access the parcel of land indicated for reasons of reviewing and evaluating the <br /> land use application. <br /> Sign e(s): <br /> PRINT NAME AND COMPLETE ADDRESS OF PROPERTY OWNER(S) BELOW: <br /> Name: Danny Paul Ardrey Estate Trust Date: act I vt Zk) Z-DI <br /> Address: 13777 County Road 102 <br /> Elbert CO 80106 <br /> State of ) <br /> ss: <br /> County ) <br /> The above and foregoing instrument was subscribed an orn to efore me, in my presence,a Notary Public <br /> iq and for the Co my of L i b1 r'�" State of ���Q D this �O 4� day of <br /> 20 <br /> (`SEAL) <br /> TRACY LEiGH ARDREY <br /> NOTARY PUBW <br /> STATE OF COLORADO 5 <br /> NOTARY ID 20134071764 <br /> W CO AS"S,"DIMS NOV9 S 14,2M7 <br />