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u <br />r1 <br />LJ <br />• <br />l7E LD CUIRITY, 0.1LORAD0 <br />SPECIAL USE APP L.iCATSOH <br />For <br />UP E11 ClR f.4lIE PERhUT <br />(gravel pits, etc.) <br />Ile ld County Department of Planning Services ql5 - 10th Street, Grre ley, CO <br />Phone 356-4000 EXf 400 <br />For Department of Planning Services Use Only Case Humber: <br />Ua to Application Recei ved:_ <br />Section: , Township: <br />Zoning District: <br />Recording Fee: <br />Recording Fee Receipt K: _ <br />Application Reviewed By <br />PC Hearing Date: <br />(lo rth, Range: Nest <br />Permit Fee: <br />Receipt Ilumber: <br />To De Co„pleted by APPLT CAIf( In Accordance VVi th Procedural Guide Requirements: <br />1. ] (we), the undersigned, hereby request a hearing be (o rc the Y1e ld County <br />Planning Commission coot ernin9 a proposed Open Cut f,R AV FI <br />(gravel, coal, horrrnr pit, etc.) Wining operation for the following <br />described unincorporated area of 1'le ld Cou ntyl <br />LEWL D1scRlPTlon: SEE PAGE 8, EkNIBIT A <br />TOTAL ACREAGE: <br />2. Surface owner(s) of area of land described <br />i1~e:JUNE II.,LEIIR Address: 3254 VILR 20 Phone: <br />Name: Address: L Phone: <br />3. pvner(s) of mineral rights to substance to he mined <br />Ilam e: AS A80VE Address: Phone: <br />Clam e: Address: Phone: <br />a. Source of applicants Legal Night to enter and to mine on the land described: <br />SEE REPORT . <br />Attach Certified Cnpy of any Uoumnni noted to the Gack of This Fo nn <br />5. Address of applicant and general of (i ce WELD COUNTY - DEPARTMENT OF Et1Gl VEERING <br />Applicants address:p,0. BOX 768.GREELEY, CO. 806]2 Phone: 356-4000, EXT 4750 <br />Genera] Office address: g37 R. Ilth AVE GR EE LEY. CO,_Phone: ~~ <br />80631 <br />6. Identify any prior permits (or open cut mining held by applicant or affiliated <br />person: SOUIIIY HAS. NIINEROUS PERMITS IN DPERATION _ <br />7, Description of Operation <br />a. Types and numher of operating and processing equipment to be mploycd <br />b. Maximum number of emplo yces: l6 , and number of shifts: _L_ <br />6 <br />