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• y .. xl <br />l1SL@i' VOUIIL ~OUI'Li).OUSe ~ -~ h' ~~ <br />Westcllffe, CO 81252 ~ 11~ <br />Application for Conditional Use Permit <br />5ubrnit this completed application and all attachments with the 5300.00 application fee at least 30 days <br />prior to the meeting you wish to have your request scheduled. The application and fee will not be <br />accepted unless complete, including attachments. Application fee is non-refundable. <br />Land Owner nr~re ~~ r„rf Tom,' ~a ~r~~,~ , ,, <br />All land owner must be fisted on this app0n[io n. <br />Mailing Address I I ~~(~? ~r.r~.,~-~ I2~f 1 .~ <br />pp~~ ~ ~ <br />City, State, Zip It 1r'~, ~ ~ ~ TTP ~, ,S I ~ ~ ,~ <br />Telephone (Home) (7!9) 'S3 ~-7C'~! Business (_~ 5«,,,~ <br />--------------------------------c----------------------------------------------------- <br />Applicant 1 C+ [vr e_ <br />Mailing Address <br />City, State, Zip <br />Telephone (Home) (_) Business (__) <br />4ttachments: <br />plot plan drawn Io scale, or survey of property. (This must include existing structures, welts, and septic components; <br />heir distances from property lines; and access to the property. Also include all future structures planned for the <br />property.) <br />4dditional documentation as checked beloev: <br />i Name and address of current lien holder. cer~~~+>o .KC..~t.~ g~.J~ <br />~ Reclamation plan. <br />~ Evidence of performance bond. ~~~~~~~ ge~,,r,J <br />Written expianation of methods to be used to minimize smoke, odors, noise, dust, and similar environmental <br />problems which might result from the Intended use. <br />~ Satisfactory proof that area used for commercial airports, cemeteries, and schools will be properly <br />maintained. f q <br />r~ Evidence that sufficient oft-road parking will be provided to accommodate the ex ec e rvolu~m ot'us2rs. <br />J Written authority to act as agent if the application is not signed by the property owner. Authority to act mint <br />include the statement "agent is authorized to make binding carcrritments cn oehall" of the comer. <br />~ Requu~ments from the W et P~tountaln f=ire Protection plsfrict <br />