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~~ <br />~ ~( ~ COSTILLA COUNTY • <br />PLANNING & ZONING HEPARTMENT <br />l.~~ GRADING PERMIT APPLICATION <br />`i (MIIVOR D~S~I.OPMEN1~ <br />Application # <br />Appticant• owner:,_y_n, <br />Address: state zip code <br />Phone #• Fai#: <br />NOTE: ljnpplicant is not the owner ojthe property, then a copy oja cantractjor sale or lease between <br />applicant mrd owner, ar a notarized letterfrom the owner consenting M this applicah'on mustbe submitted <br />Legal Description of Land: (Attach a copy of deedof survey plat Application will be incomplete if <br />oot included.) <br />Common Description of Location of Property: (by address, mileage from highway or <br />county road, or other recognized landmarks) <br />GRADING INFORMATION <br />Name of Engineer/Surveyor:_ <br />Address• Phone• <br />Total Site Acreage: Total Disturbed Acreage: <br />Grading Start Date: Proposed End Date: , <br />Is Grading for const. purposes? _Y_N_ Total Disturbed Acres: <br />Is grading for road construction proposes? Y N_ <br />Total Linear Feet: Road Width: %of Slope <br />Soil type classiScation (s) to be disturbed: <br />Are truck or trailer loads to be removed or delivered to the site? _ Yes _ No <br />If yes, List roads used, mileage, and hauling approvals. <br />NOTE: Attach a Site Plant and or grading plrnt with details ojlacation ofdrairtage, <br />streams or water courses, existing smtctures, pipes, topography contours, existing streets <br />or road and grading calculations. <br />All information contained herein is true and correct to the best of my knowledge or belief. <br />Appticant Signature: <br />Approved by: <br />Land Use Administrator <br />FOR PLANNING & ZONING DEPARTMENT USE ONLY <br />GRADING PERMIT FEE: ($25.001 100 CU. YDS. MOVED PLUS $10.00 EACH <br />ADDITIONAL l00 CU. YDS. <br />TOTAL DUE $ <br />ZONING DISTRICT <br />BONDING SUBMITTED AND APPROVED:_~_n_AMOUNT: $ <br />(if applicable) <br />revised March 1999 <br />