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LAND USE APPLICATION FORM <br />Teller County Community Development Services <br />PLANNING DEPARTMENT <br />Post Office Box 1886 cp Woodland Park, CO 80866 <br />(719) 687-3048 cp FAX: (719) 687-5256 <br />'r -' M.•. "?y? . - .. - <br />'"' ;> sFM tlr•._'J Y:?"?? *? .i,.,f, J:.CY.1 ': :.: 'n `i.-.f <br />?°TYPE OF APPUCATI ? _-, <br />? 1041 ? Preliminary Plan (Subdivision) <br />? Special Review Use Permit ? PUD (Sketch or Preliminary) <br /> Use Requested: F ? Sketch Plan (Subdivision) <br />? Final Plat ? Special District <br />? Location & Extent ? Special Exemption Plat <br />? Major Building Review ? Variance Permit <br />? Amended Final Plat ? Zone Change <br />? Amended Final Plat - LOT LINE VAC. X Other: Appendix A - Cripple Creek Mining <br />? Minor Infill Subdivision Overlay District <br />? PROJECT NAME: Cresson Project - Mine Life Extension <br />ATTACHED: APPLICATION FEE: _$5000. <br />40, <br />7 <br />PROPERTY OWNER(.) (Please prjnt)-,. <br />IF MORE THAN ONE PROPERTY OWNER ALL PROPERTY OWNERS MUST BE LISTED (attach list) <br />Name: Cripple Creek & Victor Gold Mining Company (CC&V) Gary Goodrich is contact person. <br />Mailing Address: P.O. Box 191, Victor Colorado 80860 <br />Phone OFFICE: (719) 689-4056 HOME: <br />FAX: (719) 689-3254 a-mail ggoodrich@anglogoldashantina.com <br />Source of Legal Right to Enter Is Included as Attachment 2 <br />ATTACHED: (1) TITLE COMMITMENT, TITLE GUARANTEE, TITLE COMPANY <br />OWNERSHIP & ENCUMBRANCE REPORT, OR ATTORNEY'S TITLE OPINION; <br />(2) DEED/S (as required) <br />ATTACHED: ADJACENT PROPERTY OWNER LIST (names and addresses), See Attachment 1, section <br />3.D.2(d) <br />ATTACHED: ADJACENT PROPERTY OWNERS MAILING LABELS, See Attachment 2 <br />ATTACHED: MINERALS INTEREST FORM AND LIST (as required), See Attachment 1, Section 3.D.2(d) <br />ATTACHED: SPECIFIC APPLICATION TYPE SUBMITTAL MATERIALS, See Attachment 1 <br />PQLICAN7#, ;IRDIFA ENT= PROPERTY OWNER (p ease: rYnt) <br />Name: Cripple Creek & Victor Gold Mining Company <br />Mailing Address: P.O. Box 191 Victor Colorado 80860 <br />Phone OFFICE: (719) 689-4056 HOME: <br />FAX: (719) 689-3254 a-mail cicioodrich@anglogoldashantina.com <br />CC&V is applicant and Property Owner through leases and other agreements. CC&V has Right to Enter <br />and mine for all parties within the permit boundary. See Attachment 2. <br />ATTACHED: WRITTEN. NOTARIZED, AUTHORIZATION AND CONSENT FROM ALL <br />PROPERTY OWNERS FOR APPLICANT TO SUBMIT THIS APPLICATION <br />Page 1 of 3