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APPLICATION FOR <br />SPECIAL USE OF THE LAND <br />RIO BLANCO COUNTY, COLORADO <br />For PLANNIPIG DE.°A.RTMENT USE Only <br />^ Date Received by Planning Depaztment: 19 <br />Q The attached completed Applicaticn for a SPECIAL USE PERIdIT was sub- <br />mitted to The Board of County Commissioners (1977 RBCO 305.A 1. et <br />seq) for the Purpose of determining the need of an IMPACT ANALYSIS <br />STATE[~IT, Date Submitted: 19 <br />D LAND USE RENTER! and COMMENT: <br />19 <br />Dated <br />Land Use Administrator <br />^ COMMENT BY THE DIRECTOR GF "rLA1QIv~IG: <br />19 <br />Dated <br />Director of Planni~e <br />7/9 <br />