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~ ~ONJ4a~C~~~ Q~QD~f ~~~9 Of~a SPECIAL USE APPLICATION CHECKLIST • THE FOLLOWING ITEMS MUST BE SUBMITTED ALONG WITH THE APPLICATION: Please include this checklist with your application ~_ 1. A letter of request (10 copies) that contains: X Date of application X Owner and representative (address and phone number) X Site location and present zoning >C Request and reason far the special use permit X Exis;ing and proposed facilities, structures, roads, etc. X Signature of owner or representative' 'Letter of consent authorizing representative to act in owners behalf must be included ~_ 2. Proof of ownership by deed (1 copy) 3. Proof of water by one of the following: (2 copies) X Letter from Water District CL~4~(JCS s~.C,.vcS ltJ~4iF~ Copy of well permit Applicant's statement that cistern is used with information on where water is obtained/purchased. A letter from water supplier shall be submitted. X 4. Proof of sewer by one of the following (2 copies) _ Letter from Sanitation District City-County Health Department preliminary investigation form • ~c Other j~okTAf3LE TOILr:i~ k 5. Plot plan (drawn to scale) of the subject property (10 copies) that contains: X Parcel dimensions X Parcel acreage k Existing or proposed structures with dimensions from the structures to the property lines X North Arrow x Street Names X Scale X Name of access road to site (s) _ Easement(s) (P!ease submit 3 copies of document) ~C Public.'Private P,oad _~_ 6. Vicinity Map (does not have to be to scale) (10 copies) ~C 7. A nonrefundable application fee of ~ I C~7j,QiJ k 8. Any Drawings/Maps larger than 8'hx14 MUST BE FOLDED NO LARGER THAN 12x9 _~ 9. ATTACH THIS CHECKLIST THE ABOVE CHECKLIST IS PROVIDED FOR THE CONVENIENCE OF THE APPLICANT • AND SHOULD NOT BE USED TO DETERMINE COMPLETENESS OF AN APPLICATION. UPON STAFF REVI EW, ADDITIONAL INFORMATION MAY BE REQUIRED. SUP_APP.dac REV 6/6/95 Page 2