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DEPARTMENT OF PLANNING SERVICES <br />1555 N. 17"' Avenue, Greeley, Colorado 80631 <br />Phone (970) 353-6100, Ext. 3540 Fax (970) 304-6498 <br />USE BY SPECIAL REVIEW (MINING OPERATION) APPLICATION <br />FOR THE DEPARTMENT OF PLANNING SERVICES USE ONLY <br />Application Fee Receipt Number Case Number <br />Recording Fee Receipt Number Zoning District <br />Application Checked By Planner Assigned to Case <br />To be completed by APPLICANT in accordance with procedural guide requirements: <br />1. I (we), the undersigned, hereby request a hearing before the Weld County Planning Commission concerning a <br />proposed rg avel (gravel, wal, bonow pit, etc.) mining operation for the following described unincorporated area of <br />Weld County: ~o include asphalt and concrete batch plants and a concrete casting facility) <br />LEGAL DESCRIPTION: <br />PAF <br />2. Surface owner(s) of area of land described: <br />Parcel No: 146901000021 <br />Name: Freda L. Dreiling Living Trust Address: 4025 County Road 23 Phone: <br />Fort Lupton. CO 80621 <br />Parcel Nos:146912000014,146912000026,146912000039,146912000040,146924000022 <br />Name: Mineral Reserves. Inc. Go Lafarge West, Inc. Address: 10170 Church Ranch Wav. Suite 200 <br />Westminster. CO 80221 <br />Phone: 303-657-4000 <br />Parcel No: 147118000002 <br />Name: Lafarge West, Inc. Address: 10170 Church Ranch Wav. Suite 200 <br />Westminster. CO 80221 <br />Phone: 30357-4000 <br />Parcel Nos:146912000023,14691200041,147107000008 <br />Name: City of Thornton Address: 9500 Civic Center Drive Phone: <br />Thornton, CO 80229 <br />Parcel No: 146912000037 <br />Name: D&S Mining Address: 4025 County Road 23 Phone: <br />Fort Lupton. CO 80621 <br />Parcel Nos:147119000006,147119000007,147119000008 <br />Name: Donald 8 Suzanne Rittenhouse Address: 205 N Patit Road Phone:_ <br />Dayton. WA 99328-8724 <br />Page - 7 - <br />