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LAND USE PERMIT APPLICATION <br /> CONTINUED <br /> THE UNDERSIGNED AUTHORIZES THE LAND USE ADMINISTRATORS) TO PROCEED WITH PROCESSING THIS <br /> APPLICATION UNDER THE REQUIREMENTS SET BY THE ARCHULETA COUNTY LAND USE REGULATIONS. <br /> ❑✓ (Required if checked) THE LANDOWNER GIVES PERMISSION FOR COUNTY STAFF TO ACCESS THE <br /> PROPERTY FOR INSPECTION OF THE DETAILS OF THIS APPLICATION, WHILE THE APPLLCCATION IS ACTIVE. <br /> z (Required if checked)THE UNDERSIGNED ACKNOWLEDGES THAT THE APPLICANT IS RESPONSIBLE FOR <br /> PROVIDING PUBLIC NOTICE AT THEIR OWN COST, PURSUANT TO THE REQUIREMENTS AS SET FORTH IN THE <br /> LAND USE REGULATIONS,WHICH MAY INCLUDE PUBLISHED NOTICE,POSTED NOTICE,AND MAILED NOTICE. <br /> ..........................................................................................................................................................................................I................-.... <br /> ❑ (Required if checked) THE UNDERSIGNED ACKNOWLEDGES THAT MINERAL ESTATE OWNERS/LESSEES <br /> WERE NOTHFED IN ACCORDANCE WITH C.R.S 24-65.5-101-105. LAND USE PERMIT APPLICATIONS REQUIRING <br /> MINERAL ESTATE OWNERS/LESSEES NOTIFICATION. THIS NOTIFICATION REQUIREMENT IS STRICTLY THE <br /> APPLICANT'S RESPONSIBILITY. <br /> APPLICANT'S INITIALS <br /> (NOTARTZED AGENT AU HORIZATION FORM SIGNED BY ALL PROPERTY OWNERS IS REQUIRED AND MUST COMPANY THIS APPLICATION IF <br /> APPLICATION IS MADE BY OTHER THAN OWNBR(S)OF RECORD.) <br /> LANDOWNER'S SIGNATURE AS ACKNOWLEDGEMENT: '�1'6 _.e <br /> .....................................................................................I..................... .�!!.'�. ?.� tOU,............................. <br /> .........._ <br /> Rev. 7.2016 <br />