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<br />Please Address Liquires to: <br />Teller County Planning Deparbnen! <br />P.O. Box 1886 <br />Woodland Park, CO. 80866 <br />(7l9) 687-3048 <br /> <br />Date Received: <br />Fee Received: <br />Summary of <br />Teller County Land Use Request <br />Application for Cotrditional Use Permit <br />Application Fee: SIS0.00 <br />Name of Petitioner(s): Fremont <br />Mailing Address: 615 Macon Avenue, Room B-5, Canon City. Colorado 81212 <br />Phone: 719-275-7510 Office <br />Home <br />Legal Description of Subject Property (Use Additional Sheets if needed): <br />enclosed <br />Sununary Stalement ojRequest: <br />Total Acres: 9.8 <br />Summary of Request <br />current zoning: Agricultural Zone (A-1) <br />Z hereby certify that Z am the applicant, or the authorized <br />agent, named herein and that I have familiarized myselt rith <br />the rules and regulations with respect to preparing and filing <br />this petition and that the statements and answers hereia~eoataiaed <br />and the information oa the attachments are fn all respects true and <br />accurate to the best of my knorledge and belief. Phrthezmore, Z <br />understand and agree that I am responsible for the completion of all <br />site improvements as indicated is the application materials, as yell <br />as any conditions of appro impao,'~/e,~ by Teller County. <br />Signed: „~ ~ ~j~,.~ Date: S-c~S- ~~ <br />"r or Authorized presentative <br />C1(RrRMAd~ ~~Fi4nur 6aRRD oF- C'oo+lty Cava«SSro.vF.25 <br />Planning Commission <br />Date Heard Action <br />Date Heard Action <br />Coanty Commissioners: Date Heard Action <br />Date Heard Action <br />