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' ~ ~IIIBIT M <br />' LOCAL GOVERNMENT APPROVAL <br />DATE P.C.P.C. MEETING HE[.D~ ',Z / - ~ 7 , <br />' USR SY REVIEW AND SPECIAL IISE PERMPP <br />' PROPERTY OWNER INFORMATION: <br /> 1 <~ <br />NAME: t ~~ '` ^__ <br />' ~" 9 / ,~ U/~'/ G /r' <br />ADDRESS ~ ~~ /o . ~/ G' S Z <br />' _ <br />PxONE NUMBER: (HOME) 3 G- 2 Z z 3 <br />3 <br />(OFFICE) <br /> ffiSTING 7ANING DISTRICT CLASSIFICATIONS >~1 f1 ~ <br />f <br />N d L 1 <br /> LEGAL DESCRIPTION OF PROPERTY: <br />' }~arf oT1~Ll)`~/y.~~ ~l,U`iVF~ S~~ y/l/.~~ /yG/Jfs~ f <br /> ~9Nd su,~`f"~~.,=~` ~Snc~~'~ 7 ICI- ) 2-117 -"~;* ~.i. <br /> <br /> <br />' .~o l s 1 A~Id L i n SQC'T: ~n ~ o-z?,-SCE A/I/yor7~r? ~.= ~ ~N<« r ~4hQ ~ ~l r, <br /> Lo-1's /L aNc~~ 4'~ 0.d Ulrs ; 1-`al~ r~~ io: s i5 q~ a 1 $; d; 'i 17 Fours ; -i'a~~; <br />' DESCRIBE ESISTING IISE OF PROPERTY: ~ 1 a c ~ S alb d ~ ~ i S ~ ~ 'i <br /> %~~ ~ ~ r~~ ~X . fry ~ ~',•- rr . ~~ ~ ? r ~ , „ - ~ : ,M ~; <br /> / <br /> ... /~ , ~ <br />'Sn ~i~~~ .Dri ~ or" <br />DESCRIBE PROPOSID IISE OF PROPERTY: <br />' S c m e ~s ~, h ,, ., .~ <br />' &OTEs 1) A plot plan showing all existing structures shall acpornpar~y thin <br />application with aT~Y proposed changes indicated. <br />t 2) A list con,t~ining all property oxners within 300 feel;, of the <br />erterior Doµndaries of property in question ahall'~opgyparrp this <br />applioatioa with namoa and addressee inrilosWd. <br />' Pursuant to the authority granted the undersigned Land IIse Administrator <br />for the County of Prowers, State of Colorado, the application 1'or the <br />foregoin/g spec^~ial us~el prer~mit is approved. <br />1 DATE • ~ - ,,c I ' 1 I . <br />1 ~ - <br />/.; ' ~ <br />' LAND USE AIMINISTRA'itOR ~ 2g <br />PROWERS COUNTY <br />