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~--'--... .. ._ a <br />-- -- _" <br />_ _ _ _____ _~,.,.,~ ~ ,.~~uiiug ~ap.~r[mcnt _ AppllCa[ion Pi•c: $25.00 <br />• Hoffnt County Cuur[hmisc • <br />Craig, Cular:~ 81625 <br />(]01) 824-596 <br />~ , <br />' APPI.i CATION FOIL F,ONDTTI ONAI. USE <br />' (Hof fat Counry Znnlnp Resol utfon-Secrl on 420) ` <br />PART 1: To be filled out by Ap lican/t'~ ~ • <br />1. Appllcan['s Name: ~i L/ c f /`,'r/Gr1l~~ <br />r' -~ <br />Address: 2 7O !'`~ .~ e ~ ,S / _.~ <br />. Telephone' ~i2~-,S~/~ <br />2. Land Wncr: ~ ~j l.) y>r• p ~y /~l ,( /~ / <br />AddrCSS: 4S~J ~7//t) CY t~ N S T ~QX ~~f D C. YG IdI~CO/~ <br />1 Telephone: ~Z¢ -,/~~/ 7 <br />' 3. Name of Agent, if any: <br />Firm Name• <br />' Address: <br />Telephone' <br />4. Acreage: Zone: ~~y/t~u~"i.re <br />S. Legal Description:_~~~ i >l~.~srd 71~a u5 <br />r <br />1 --- <br /> <br /> <br /> <br /> <br /> 6. Proposed Use (Described In Detail): ~/ Y~ +>'t Gd 0 ~ G r J ?i: d ~' ~)i9u ~ L <br /> ~: l y ~~ N/o!-sum:. r 11f~,~ >r l /F N : y- ' f //S QD n rs+' ~f.2,~~/~ <br /> ,. <br />~i <br />~ r <br />Yta <br />b <br />P <br />r <br /> a,~ <br />~ ,,, <br />~ ~ r n, t a ~, ,~ <br />, Y< < <br />, <br />' ., <br />1 <br /> 7, Is Proposed Use compatible with adjacent lands? ~ ~ $ <br /> 8. Will Proposed Use create odors, noise or pollution? V _°- S <br /> ~ <br />1 <br /> <br />9. <br /> <br />Reclamation Bund provided, Sf necessary? <br /> <br />y E S - <br />7 <br />:. <br />L~D~D i_~~ /+/ <br />' 10. Copies of Federal and State Permits provided, if appl icable2 xP S _ i- L M <br /> 11. Type of Water System: ( ) Public ( ) Private ( ) Existing <br />' ~ 12. Type of Sevage System: ( ) Public ( ) PrSva[e ( ) Existing <br />- •••IJ. Include a map shoving ]ocaCion of property, roads, and casements wh ere use Ss to be <br /> placed, and names o[ ajoining property avnurs. <br />' It none, so state. <br />^ <br />