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D. APPLICANT AND LANDOWNER SIGNATURES: <br />The undersigned applicant and landowner herby verifies and affirms that the information <br />contained in this application is complete and accurate. The undersigned applicant and <br />landowner understands and acknowledges that the submission of inaccurate and incorrect <br />information may result in the denial or rejection of the application and/or result in the <br />invalidation of any approvals issued by Park County, Colorado. <br />Applicant: Signed: ` V4/L <br />. Print Name: it 0'r- ?--? <br />If Company, State Title/Position: Q ?n <br />E. VERIFICATION OF DATE OF DELIVERY OF APPLICATION AND FEE <br />This application was submitted to the Park County Planning Department on the following <br />date and time: <br />I WW wy l l <br />Month <br />Day <br />20 C)g <br />Y ear <br />For Cetmfy Use Qply; <br />Verification of Date and Time of <br />Delivery and County Receipt of <br />Applicati Fee: <br />Print Name <br />Payme t of the Personal Applicant Check was made by: '}??2 <br />ck # ? JV ? Amount $ w ZD <br />Cash Amount $ <br />Other Amount $ <br />APPLICANT MUST ATTEND THE HEARING. IF A REPRESENTATIVE <br />ATTENDS THE HEARING ON BEHALF OF THE APPLICANT, A NOTARIZED <br />LETTER OF CONSENT MUST ACCOMPANY THE APPLICATION. <br />ALL HEARINGS WILL BE SCHEDULED FOR THE SECOND TUESDAY OF <br />EVERY MONTH. IF A QUORUM IS NOT AVAILABLE, THE HEARING WILL <br />BE SCHEDULED THE NEXT AVAILABLE DATE.