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Adams County, Colorado <br />Department of Planning and <br />CONDITIONAL USB APPLICATION FORM <br />Place HIl art thin tlpplit~iot- tam oamtpletdy and submit a!L dooameata tngnited (es dandbed in the 7.oning Regttlautra.) <br />ttyw tame ttt~ qutst)om as hour to oomplae thh applieatioa farm plane au ss3-70o0. w pec ippticdon aediag wuh <br />. rl,aatoe..e Devdopmcut Depavlmeat salt mrmhnr d rr>:efy tseotttmradW. _ <br />SQ11fINA8Y OF APPIlCA11fON: Mobik Premix Concrete Inc. is requesting Conditional Use Permit approval to operate <br />sand and gravel mine with accessory uses for tbnx to eight years. The accessory uses include en office and scale house <br />equipmmdvehicleenaintenance, fueling and stockpiling areas. <br />A <br />Ns~ec Mobile Premix Canerderlnc. <br />~~ 1590 W. 121h Avenue <br />~. ~, Zils Denver, Co. 80204 <br />Plmc 303~57~336 <br />~. <br />Same <br />IQamc , <br />Addteta: <br />Q1-y. BtatS ~: <br />Ppnoe. <br />Name Benksand Gesso <br />Ades 720 Ripling Street' Suite 117 <br />l.akewoad, CO.80215 <br />Ctty, State, Z~ <br />303-274277 <br />j1SSCRIPiTON OF Sidi: <br />,,,_ _ 12701 Brighton Road <br />NWC Brighton Road and 124th Avenue <br />Arm <br />Approximately 52 acres. <br />(area a aquae bed iClesa ibaa 1 acre) <br />35 1S 67W <br />9eetim: Tovmship:_,~tavge: <br />AsveaorPatedNa~ie 157135015001,2,3 <br />See Attached <br />I.eaal I>ceairtiau <br />A-3 <br />~~a ~b <br />Rangeland <br />>baatioa Imd Uae <br />Water ac tiaaiteoiaa Sernee <br />I oetlfy that I am maldgg thin eppUcatbn n trvreer of fhe above described prtopaty, a ailing multr the aufhaity d the trwar <br />(attatitied authaai>adao, if acre ov-nc). I am fam7iar with all patmmt mgnttmems, ptnoedrues, a~ 11xs d the Caaafy. I <br />tmdert~d tltu the Appliathm RevieN Nee b non.~efuadabk. All amtemmts made as this form acrd additlooal appiiwtlon <br />matafala ate erne to th, a best d~/Im~~o~/w~~ledge and belief. /,~~,,~ <br />Name: V ~' [1'~l psOe: Y'9t~ l j` 7.Gb/ <br />asst f0.,.+ s«-.e;~gMy <br />Lad a Pte~pltadm mating vri9t the Phumlag and Development Departmem oa 9-11-01 ~>. ~. Heather Phile <br />(Date) (Staff Mem6et'l <br /> <br />