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LAND USE APPLICATION FORM <br />Teller County Community Development Services <br />PLANNING DEPARTMENT <br />Post Office Box 1886 ~* Woodland Park, CO 80866 <br />(719) 687-5259 ~ FAX: (719) 687-5256 <br />C] <br /> TYPE OF APPLJCATION <br /> <br />^ 1041 <br />^ <br />Sketch Plan (Subdivision) ~~~~~ ~~ <br />" <br />>< Conditional Use Permit ^ Special District ~~~~~ p ~ZOQ <br />Use Requested: MINING ^ Subdivision Exemption pi,,; ; <br />s <br />~ <br /> <br />^ Final Plat <br />^ <br />Variance Permit _ <br />~; ,q~clar,g; <br />iYiningand5afet <br />^ Location & Extent ^ Vacation: Lot Line <br />^ Major Building Review ^ Vacation: Other <br />^ Minor Subdivision ^ Zone Change <br />^ Preliminary Plan (Subdivision) ^ Other: <br />^ PUD (Sketch or Preliminary) <br /> FRgPE#~TY OUIINER(Sj(pleasg print) <br />~ IF MORE THAN ONE PROPERTY OWNER ALL PROPERTY OWNERS MUST BE LISTED <br /> (attach list) <br /> <br />N Department of Interior, Bureau of land Management <br />ame: <br /> 3170 F. Main, Canon City, o0 81212 <br /> <br />Mailing Aoaress I <br />Phone OFFICE: (719) 269-8500 HOME: <br />FAX: e-mail <br />^ COMMITMENT FOR TITLE INSURANCE, TITLE COMPANY OWNERSHIP 8 EN UMBRANCE <br /> REPORT, AND DEED/S (as required) ATTACHED ~ NOT REQUIRED i <br />i APP1~L`IIKtT - IF DIFFERENT THAN PROPERTY OWNER (please print) <br /> <br />N The Tuxcluoise Connection Inc. <br />ame: <br /> 910 Phay Ave. <br />Mailing Address Canon City, Co 81212 <br />Phone OFFICE: (719) 315-2213 HOME: (719) 315-2234 <br />FAX: e-mail fscott705@aol.can <br />^ WRITTEN AUTHORIZATION FROM ALL PROPERTY OWNERS FOR APPLICANT 70 SUBMIT <br /> THIS APPLICATION MUST BE ATTACHED <br /> <br /> <br />m, <br />