Laserfiche WebLink
Huerfano County Land Use DepartmentL- <br /> 400 Main Street,Suite B <br /> Walsenburg,Colorado 81089 <br /> 719-738-1220 ext.103 ' <br /> GENERAL LAND USE APPLICATION <br /> Number of Proposed Lots: <br /> Number of Proposed Dwelling Units: NA <br /> Proposed Average Lot Size: <br /> AI rCn11CC}Pfi <br /> If a Variance Request,please state the reason for the Variance(s): <br /> Is all or a portion of the subject land located in a potential flood plain area,or are there areas with slopes in excess <br /> of twenty percent(20%)? ❑YES ieNO <br /> If YES,which of these conditions exist? <br /> Value of proposed new development: <br /> none <br /> Will the proposed project require any State or Federal permits? AYES ❑NO <br /> If YES,please list all permits or approvals required: <br /> d ecl m�tion Pe it 112 Permit#M-2017-007 <br /> Colorado Air Pollution Control Permit for mine if reduction exceeds 70 000 tons. <br /> If a H.B. 1041 permit is required,for what matters of local concern and state interest? <br /> Please list any additional pertinent information: <br /> S. CERTIFICATION BY THE APPLICANT: <br /> I hereby certify that this Application is made with full knowledge of the design standards, all fees, procedures, <br /> public hearing and meeting requirements contained in the Huerfano County Land Use Regulations. Furthermore,I <br /> understand that all land use permits are non-transferrable, unless specifically approved by the Huerfano County <br /> Board of County Commissioners. The Board of Cou ty o' missioners may impose permit transfer fees as it <br /> deems appropriate.All documents submi d s 1 t internet publishing. <br /> i <br /> Date: < <br /> Signature of Applicant: <br /> 6. ACTION(by the authorized permitting authority): <br /> ❑ Final Approval X Conditional Approval ❑Denial <br /> Signature ,,P'ti <br /> Name <br /> 1 '1. �i�s.s ✓ Date <br /> Title <br /> Page 12 <br />