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Acreage10 No. of Proposed Lots N/A <br />Existing Zone I-3 Proposed Zone 1-3 <br />Property Owner Name(s) Highway 85/87 Properties, LLC. <br />Address 2010 Fox Mountain Point <br />Colorado Smin¢s CO Zip Code 80906 <br />Office phone (719) 473-3100 Alternate Phone <br />Mobile Phone (719) 491-3101 Fax (719) 473-3109 <br />Email Address sischnurr(acomcast net <br />Applicant Name Rocky Mountain Materials and Asphalt, Inc. <br />Address 1910 Rand Ave. <br />Colorado Springs, CO Zip Code 80906 <br />Office Phone (719) 473-3100 Alternate Phone <br />Mobile Phone (719) 491-3116 Fax (719) 473-3109 <br />Email Address tom(a rmmaterials com <br />Contact ! Consultant Name Tom Smith <br />,Address 1910 Rand Ave. <br />Colorado Springs, CO Zip Code 80906 <br />Office Phone(719) 473-3100 Alternate Phone <br />Mobile Phone (719) 491-3116 Fax (719) 473-3109 <br />Email Address tom@rmmaterials.com <br />OwnedAuplicant Authorization: <br />The stgnature(s) hereby certify that the statements made by myself and constituting part of this application <br />are true and cored l(we) am(are) fully aware that any misrepresentation of any Information on this <br />application may be grounds for denial of this application. I(we) have familiarized myself(ourselves) with the <br />rules, regulations and procedures with respect to preparing and filing this applicatioff. 1(we) also understand <br />that an Incorrect submittal will be cause to have the project removed from the agenda of the Planning <br />Commission, Board of County Commissioners and/or Board of Adjustment or delay review, and that <br />approval of this application is based on the representations made in the application and may be revoked on <br />any breach of representation or condition(s) of approval. Submission of this application and signature of the <br />owner(s) below authorizes the Planning Department, and applicable review agencies, right of entry onto the <br />property for purposes of processing this request. <br />Owner(s) Signature Date <br />Owner(s) Signature Date <br />Applicant Signature Date <br />AUTHORIZATION TO SUBMIT APPLICATION (Office Use Only)