2007-01-11_PERMIT FILE - M2007003

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3) Appropriate title (CONDITIONAL USE PERMIT FOR Owner's Name or Proiect Name ); 4) Appropriate sub-title (brief description of the proposed use); 5) Legal description, describing the boundary of the property to be included in the use permit; 6) A vicinity map locating the development in relation to the surrounding areas, roadways, streets and commonly known natural features (such as rivers, mountain peaks, cliffs, etcetera); 7) The drawing shall clearly label or show by identified line symbol, the boundary of the property to be included in the use permit; 8) A North Point; 9) Written and graphic scale; 10) Date of prepazation and date of revision, if necessary; 11) The existing zoning classification for all properties adjoining the property to be included in the use permit; 12) The size and location (by dimension) of all existing and proposed buildings and / or structures to be housed on the subject property after issuance of the use permit; 13) The size and location (by dimension) of all off-street pazking and loading azeas on, or adjacent to the subject property; 14) The size and location (by dimension) note statement and / or typical drawing of all off-street pazking spaces; I S) The size and location (by dimension) of the subject property's access to a public right-of--way; 16) The location of all drainageways or other natural features which effect the proposed use or could have an effect due to the subject property; i 7} The size and location (by dimension) of all pedestrian walkways and azeas; 18) The size and location (by dimension) of all service and refuse areas; 19) The size and location, by dimension and beazing, with labeling as to use and recording information, of all existing and proposed easements. c. A list identifying all agencies of local, state and / or federal government which will require a permit, license or the like to be issued for all or part of the activity which comprises the proposed use and a summary of the status of all applications, along with copies of such applications, permits, licenses or the like and contact names at the agencies, packaged as one item and marked as EXIIIBIT 47c.1 (NOTE: Any operation that requires a Colorado Department of Natural Resources, Division of Minerals and Geology Reclamation Permit must provide copies of the mining and reclamation plans [hat are submitted to the Division to obtain said permit). d. Legal description of the proposed permit azea, marked as EXHIBIT 47d.1. e. A copy of the current deed of record for the subject property, marked as EXI IIDIT 47e.1. f If the owner is not the applicant, either the owner shall sign the application form in addition to the applicant or a copy of the documentation providing the applicant with the right to occupy the site for the proposed use and make this application shall be attached mazked as EXHIBIT 47f.1. By signing this application, you are certifying that the information provided in and with this application is accurate, true and correct to the best of your knowledge and belief, also it serves as your acknowledgment that you understand that if any information is found to be untrue or inaccurate, this application may be rendered null aad void. APPLICANT'S SIGNATURE OWNER'S SIGNATURE DATE: Fremont County Application ror Conditional Use Pemti[ 01/06/03- page # 15 of 15