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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
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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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I/13'ejrather acknowledge that we havefamllitaized ourselves with the rules and regulations with <br />respell to the preparation of this applitatkon, that thg foregoing lirformatian ks true and mrrect to the <br />• best afoot hrowledg~ and that we assume the responsibilkty to monitor the status of this'applica{ion. <br />lYe recognize that we ourselves, or otrr reprtwsentative(s), must be present at all hearings. In the event <br />that }hepetkaoneris not represented, the item maybe dropped fmm the ag¢ada, and an addi8onal fee <br />ckiarged to carer the re-scheduling expenses before it can beplaced again on the agenda. Submission of <br />• thisl~evelopmentAppGcationconsritutesagrantofpermissibnforMesat'ountyReviewBoards,Staf( <br />and~fgendes to eruer the subjeetproperty.during working hours and conduct such site invesh~ations as <br />t\h./e~(y~d~eemJ~ne//~ej7]e~sisrawry.~A~ l~lnroperty owners ace required to sign this fornL <br />//CO~~'Li /~•Y_Y_lNJ'ay ~~j~~( NL~OJI v r~ ~~~ • <br />Si of Person trorn letinlg this App&eation Print Name Date <br />~ ~l.~~aft~~r •jlle~~ ~ N~l_soN~ L•..KI ~ ~ ~- 2006 <br />Srgnature ofProperty Owrux(s) . • , Print i\Tamd Dot <br /> <br />Signature of Property Owners) <br />Signature df Pippaty Owwner(s) ' <br />Signature of Property Ownetts) <br />Signature of Property Ownca(s) <br />Signature of Property Owner(s) - • <br />Additional Property Owners: <br />Flame: <br />Mailing Address: <br />Name: <br />Mailing Address: <br />Name: <br />MaIIing Address: <br />Print Name Date ' <br />Print Name Date <br />Print Name ' Date <br />Print Name Date <br />Print Name <br />Date <br />Telephonc # <br />G~ty: <br />city: <br />Telephone Ji <br />Telephonc # <br />ary. <br />A15-1-0 <br />Zip: <br />Zip: ' <br />~P~ <br />(New 07/07) <br />
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