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'G• <br /> ` Weld County , Colorado <br /> • SPECIAL USE APPLICATION <br /> FOR <br /> OPEN CUT MINE PERMIT <br /> ( gravel pits , etc . ) <br /> Department of Planning Services <br /> 915 - lOth Street <br /> Greeley , CO 80631 PHONE : 356-4000 Ext . 404 <br /> j For ZONING DEPARTMENT Use Only Case Number : <br /> i <br /> Applicant : PC Hearing Date : <br /> CC Hearing Date : <br /> Section : Township : North Range : West <br /> Zoning District : Acreage Involved : <br /> Permit Fee : <br /> Receipt Number : <br /> Legal Description Approved by _ County Attorney <br /> Site Entrance/ Exit Points and Off-Site Transportation Routes <br /> • Approved by Weld County Engineer <br /> Recommended Road/Bridge Fee : /Not Required <br /> I i <br /> Refer to : <br /> I I <br /> 1 ) Date : <br /> 2 ) Date : <br /> 3 ) Date : <br /> 4 ) _ Date : <br /> 5 ) Date : <br /> Application Reviewed by : , Zoning Department <br /> To be completed by APPLICANT in accordance with Procedural Guide <br /> Requirements : <br /> I . I (wxx) , the undersigned , hereby request a hearing before the <br /> Weld County Planning Commission concerning a proposed Open <br /> Cut GRAVEL ( gravel , coal , borrow pit , etc . ) <br /> mining operation for tie following described unincorporated <br /> area of Weld County : <br /> LEGAL DESCRIPTION : PART OF THE WEST HALF OF THE NORTHWEST QUARTER_ <br /> • SECTION 19, TOWNSHIP 6 NORTH RANGE 6Z WESL9f_IHE_6th P_M WFI n rnIINTY, <br /> COLORADO, <br /> TOTAL ACREAGE : 9.9 Acres <br /> 2 . Surface Owner ( s ) of area of land described : <br /> Name : V_ELMA FRANK Add u,, s : RT, 1 BOX 183 Phone : 686-2018 <br /> W)aA": Address :WINDOR, CO. Phone : <br /> 80550 <br /> 3 . Owner ( s ) of mineral rights to substance to be mined : <br /> (Jame : VELMA FRANK Address : AS ABOVE Phone : AS B <br /> Name : Address : Phone : <br /> 4 . iource of applicants Legal Right to enter and to mine on the <br /> land described : WARRANTY DEED <br /> ( Attach Certified Copy of any Document noted Ito e Back of <br /> this Form ) <br /> A6 <br />