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AFFIDAVIT <br />I, LDt�t2 r- t 0, - hk( kj(Z,!' being duly sworn, declare that I am (please check one) <br />><L 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 />of Owner <br />ignature of Represe <br />Date <br />tj Iaa l l y- <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 />