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Costilla County <br />Limited Review Permit Application <br />Fee: 5500.00 <br />NOTE: (Ijapplicant is not the owner ojthe property, then a copy of a contract forsale or (ease between applicant and <br />owner, or a notarized letterjrom the owner conseMffng to this application, must be submitted). <br />APPLICANT: <br />TELPHONE: ~, [l c -' ~ ~ ~, - i a s~`I FAX: <br />LEGAL DESCRDrI'ION OF LAND: (Attach a copy of deed and/or survey plat) <br />SF_E QEE~ <br />Common Location <br />Limited Use Review Wormation <br />Note: A Limited Use Review may be permitted may be established in a zoning district only after review by the <br />plam~mg commission, and subject to the conditions sd forth in an approval of the nse by the Commission <br />Submittal Requirements: <br />1. Application form and Fee <br />2. Vicinity Map <br />3. Site Plan <br />4. Referral Packets <br />5. Development Report & Agreement <br />What kind of land use project is being proposed? C~ rr1 yF_ t - ~ ~ <br />What is the cttrtent caning designation the parcel? (/¢ ri N~ /vl tva L <br />('Ihe use must comply with the minimum requirements of the niug district in which the use is to be established) <br />Does your proposal comply with the invent and purposes of the Costilla County laud Use Cude? <br />Ls your proposal harmonious with the surrounding neighborhood? What effect will it have on the <br />What is the anticipated rimeframe for completion of the proposed use ? ~7/,' ,~ t- s . <br />Will your project be done in phases?~,YJ` N <br />Tf so please list phases and timeframe for each phase. ,/~ OF r,~, . S' nr~.Yt ~ ti - ~. ~c3 ~; e ~ . <br />Is a Site Plan amched?~ Y, N (A site plan of the proposed project is required with this application ) <br />t~tplicantSignature: ~ ./ -~~ Date:~S'-~> C~j% <br />vea: ~~ /~~¢, ~svsr. P~~ Hate: 3 - z4 - o~/ <br />Costilla County Land Use strator <br />