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2007-07-30_PERMIT FILE - C1981041
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2007-07-30_PERMIT FILE - C1981041
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Last modified
8/24/2016 3:17:38 PM
Creation date
2/11/2016 9:28:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
Permit File
Doc Date
1/21/2016
Doc Name
Mesa County Dept of Planning & Economic Development -South Portal Minor Site Plan
Section_Exhibit Name
Tab 15 Appendix 15-1
Media Type
D
Archive
No
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pEVELOPMENT APPLICATION <br />j/yTe, the rmdersigned, being the owner(s) ojpropertysituated ix Mesa Courtly, State ojt:olorado, at <br />described on the attached legal description form, do hereby petition this Development Application. • <br />Naare ofProjed: ~C o/<onrll: Fevm ~i •af proa/~r ae Grf l9r-rc'o <br />Type ofApplication: /Y4l n or ~/fir P/gn <br />PropertyAddress: /f't7fJ0 !/; w~. ,x7t7 City; pg/`s a~ orC zip: /5 =~ <br />-an <br />Tae Parcel Narnbcr: ~ '7~`f " 3 Sc! ^CC ^Gf/g - <br />Cor>mton Location: _ on,io l ~ .. <br />Nearest Cross Stress <br />Acres: . <br />~enertv_Own~ - Legal properly ownerls the owner ajrecord durtrig the application process. ljthe <br />ptvpply ownership changer during the appliattiax process, the new owner(s) are required to sabrtrit a <br />new application form. Please list additional property owners on the backojtlgs sheet <br />X Name: /~hcwar~ ~oal Ce oar..r t Src- Telephone# cl'io-311-$iiQ <br />MailingAddt+ess: ~.0.1.30~1430 City: ~o.~iSe~ote_ ••Cd_-tiP~ $i~3-L <br />E[nall Address: FAX # q,_,g , . ~,ci.1 _ g 159 .. <br />Name: Telephone Y <br />• <br />Mailing Address: City; Zip. <br />Emat7 Addmss: FAX # <br />Name: Telephone# •• <br />Mailing Address: City: tip: <br />Email Address: FAX # <br />~evelnuer <br />Name: ~an~`_- <br />~trrlso+~ <br />Telephone# °l T0`/f~lrr.~.~B/ <br />Marling Address: ~(~ 7 7 ~ `'`/o R OI ~ ~ City: ~af l JS a~3'c Zip:. `fd /5.x.6 <br />Email Addctss: rnnf~lCokopY~,//(p,m~/eCe.t,,,~'AX # ~f 6 ~i`-- 7i OJ <br />Name:- Telephone # <br />Mailing Address: GYty: Zip: <br />fimarl Address: <br />icntLdr~ <br />l FAX # <br />, <br />Name: Telephone # <br />Mailing Address: City: Zip: <br />,P.leaseinclude the arioinal sienatures ofall aron crty owners on this form. <br />Property owner must initial •the P ' ary Contact Person for tlris Application: <br /> Property Owaer 1~eveloper ~ Representative <br />• ' • ~ A15-1-3 <br /> (New 07/07) <br />
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