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�f IV ,10 Special Use Permit No. SPECIAL USE PERMIT APPLICATION Please Attach"Letter ojRepest"to this Application PLEASE READ NOTE AND SIGN BELOW: THE SUBMITTED APPLICATION PACKAGE REQUIRES SPECIFIC REPORTSANFORMATION WHICH MAY NOT BE ADEQUATE AS DETERMINED THROUGH THE REVIEW PROCESS. ADDITIONAL INFORMATION MAY BE REQUIRED. ALSO,THE ACCEPTANCE OF THE APPLICATION PACKAGE DOES NOT MEAN THE SPECIFIC INFORMATION HAS BEEN APPROVED AND IN FINAL FORM. REVISIONS TO THE INFORMATION AND/OR REPORTS MAY BE REQUIRED. REQUESTS FOR WAIVERS OF ANY OF THESE REQUIREMENTS MUST BE ACCOMPANIED BY A LETTER OF AISTXICATION THE PROWERS COUNTY PLANNING COMMISSIONERS WILL HEAR THE WAIVER REQUEST CONCURRENTLY WITH THE APPLICATION. DENIAL OF THE WAIVER REQUEST SHALL RENDER THIS APPLICATION INCOMPLETE AND RESULT IN THE REQUIREMENT FOR A NEW SUBMITTAL ACCEPTANCE DATE AND REVIEW PERIOD. YOUR SIGNA BELOW INDICATES ACCEPTANCE OF THESE CONDITIONS. Date: % Ill kpplicant's 7 Representative's Signature Tax parcel number of property(County Assessor's Records) If the land is currently irrigated,will the development of the land be for a use or used other than irrigated agriculture? Yes yf No h11a Is there a Deed of Conservation Easement attached to this property? Yes No 1. Please list the name, address, and telephone number of the following (some may not be applicable): -- • Applicant(s) a n S rri'eJxjie-k!5 Address: Z 5 1 C-Z. t,t w a�� ey otc*Z Telephone Numbers: 71q OIL?1(11V4 Email: s _.,a&e I*'jZt •t".lE�' • Property Owner(s): 6aljol Address: Telephone Numbers: t( Email: • Applicant's Representative: Address: Telephone Numbers: Email: • Address of Property 2. Zone District A 1 3. Legal description of the property(if lengthy,please attach) 4. Please list any previous applications(e.g.,map amendments,zoning variances,special use permits,subdivision variances)in connection with this property d• JV 1 U; 641,Sir