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2015-02-20_PERMIT FILE - M2015008
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2015-02-20_PERMIT FILE - M2015008
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Last modified
5/21/2020 9:27:03 AM
Creation date
2/23/2015 10:20:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2015008
IBM Index Class Name
PERMIT FILE
Doc Date
2/20/2015
Doc Name
Reclamation Permit Application Form
From
Blue Valley Pit
To
DRMS
Email Name
PSH
TAK
Media Type
D
Archive
No
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AFFIDAVIT <br />I, tDUjk r- (0, -f tA(L(A("being duly sworn, declare that I am (please check one) <br />>g� _ the authorized representative to act for the property owner, the owner of the <br />property involved in this application and that the foregoing statements and answers herein <br />contained and the information herewith submitted are in all respects true and correct to the best <br />of my knowledge and belief. By signing this application, I agree to pay the fees listed above and <br />acknowledge and agree to pay any additional fees such as but not limited to certified mailings <br />and legal notices. <br />Signature of Owner <br />gnature of Represe <br />Date <br />ljlaalfy- <br />Date <br />Acceptance of this application and required filing fee does not constitute a complete application. <br />Other material required to constitute a complete application are listed in the Zoning Regulations. <br />REQUIRED PRE - APPLICATION MEETING []YES ❑NO <br />If yes, date of meeting: <br />The following general application materials are required for all Special Use Permits in <br />Grand County. Application materials that are specific to an individual use type are <br />detailed in the applicable Uses Permitted by Special Review and Temporary Uses, <br />Section XI in the Zoning Regulation <br />Submit a completed and signed Application Form and application fee. <br />15 copies of a narrative explaining the purpose of the application (refer to Section <br />XI). <br />15 copies of a site plan showing the location of the use, proposed parking, <br />lighting and screening (landscape, berms, fences). <br />4. Other supporting documents per the applicable Special Use (refer to Section XI). <br />STAFF USE ONLY <br />Received By: Date: <br />Amount Received: Receipt #: <br />
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