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non-mining use of the property, and indemnifying the County from all injury and <br />damage claims resulting from said use of the property. <br />D. APPLICANT AND LANDOWNER SIGNATURES: <br />The undersigned applicant and landowner hereby verifies and affirms that the <br />information contained in this application is complete and accurate. The undersigned <br />applicant and landowner understands and acknowledges that the submission of inaccurate <br />and incorrect information may result in the denial or rejection of the application and/or <br />result in the invalidation of any appToVYD; issued by Park County, Colorado. <br />f <br />Applicant: Signed: J ?= <br />Print Name:r c-.., t- <br />If Company, State Title/Position: S c h e? <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 />Month <br />Day <br />20-v L <br />Year <br />For County Use Only: <br />Verification of Date and Time of <br />Delivery and County Receipt of <br />Application e : <br />SNR?? oy" V ??v 6t,' <br />Print Name <br />Payment of the Applicant Fee was made by: <br />v Personal Check # a 5 3a 1 Amount $ <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 NOTORIZED <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.