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K ? Fbutt Count <br />Ranning Department <br />PO. Box 773749 <br />-Ream boat Springs, CO 80477 <br />(970) 879-2704 <br />fax (970) 879-3992 <br />ADMINISTRATIVE, CONDITIONAL OR <br />SPECIAL USE PERMIT APPLICATION <br />ACTIVITY # <br />Petitioner's Name: Pr`e- is'. on EcC V,-k+;/-, a 4 11,C, <br />Signature of Petit <br />Mailing Address: <br />Telephone: 97(J - 7'7(.., -3, 5 ? FAX: 0?U- Z-7Co - ?O ? <br />Petitioner's Email Address: R1 0- nor i br-c)c ?onp? <br />Representative: -ion^^, AVand?eAdcen^G, <br />Address: ? oo (? n,?oln. ot? . 5 ?z 700 7y Dox 7-7" '10 C, ? GJ T- <br />? C' ?nr, c"? ter"n? ?l l <br />Telephone: -70 - 7)'-79 `0 i UJ FAX: '-?70- ??O - 0 L0 <br />Type of Operation: x-Fra c.1i ?, o-?P 5 o n d ,5 F <l r-rAVQ I C, <br />General Location: Appf cox, O,5 m Jes 5o(,n?L' °t ` fner- ('o <br />Legal Description: '> ;kc. <br />and 4e P; R6)EIJ <br />Subdivision Name: N/A <br />Proposal Summary (for notice purposes): Use separate sheet if necessary. <br />5'ee C?ov?r Le++( <br />? r- <br />Staff contact/Case manager: <br />*Note: Petitioner should be a single ownership entity that owns the property. If property is leased, <br />landowner must co-sign application or submit a letter stating no objection.