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<br />wELD COUNTY, COLORADO <br />USE BY SPECIAL REVIEW APPLICATION <br />for <br />t4NIrIG PERMIT <br />Weld County Department of Planning Services, 915 10th Street, Greeley, <br />Colorado. Phone 356-4000, extension 4400 <br />For Department of Planning Services Use Only Case Number: <br />Date Application Received: PC Hearing Date: <br />Section: <br />Zoning District: <br />Recording Fee: <br />Permit Fee: <br />Recording Fee Receipt 11: Receipt Number: <br /> <br />Application Reviewed By: <br />To be completed by APPLICANT in accordance with procedural guide <br />Requirements: <br />1. I (we), the undersigned, hereby request a hearing before the Weld <br />County Planning Commission concerning a proposed rg avel (gravel, <br />bd~1l / ~~ff~~4/ ~iil/ ~~d!) mining operation for the following <br />described unincorporated area of Weld County: <br />LEGAL DESCRIPTION A parcel of land being part of the North Half of <br />the Southeast Quarter (N1/2 SE1/4) of Section Twenty-seven. (2~ <br />Township Twelve (12) North, Range Sixty-three (63) West of the Sixth <br />(6th) Principal Meridian, Weld County, Colorado <br />TOTAL ACREAGE: 12.265 <br />2. Surface owner (s) of area of land described <br />Name: John Peters Address: Peter 313 Ranch 82054 Phone: <br />P. 0. Box M, Carpenter, WY 82054 <br />3. Owner(s) of mineral rights of substance to be mined <br />Name: John Peters Address: Peter 313 Ranch 82054 Phone: <br />P. 0. Box M, Carpenter, W7 82054 <br />4, Source of applicants' legal right to enter and to mine on the <br />• land described: See report -- pages (attached) <br />(Attached certified copy of any document noted to the back of <br />this form) <br />Township: North, Range: West <br />