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PROM <MOM)440V 0 2010 IS:10/3T.10:12I4o.7620400100 P 2 <br />HU]ERFANO COUNT'S -L•iC <br />GENERAL LAND DMLOPMENT AL .IiCATION FORM <br />[. ACTION(S) REQUESTED aPFficatwn File ft. <br />L - If <br />_ <br />Comprehensive Plarr Text <br />or Map Ar MW=nt o <br />PUD or non-PUD Subdivision Approval: <br />Sketch Plan a <br />Preliminary Plan p <br />Fin* PkWSIA n <br />Subdivision Exemption <br />PUD Development plan ,.. o <br /> <br />Plat Amendment :. o <br />? <br />Plat Correction o <br />Plat Right-of--way or Easement <br />Vacation Q <br />Lot Consolidation ? <br />Rehearings of Denied Application o <br />Vested Property Rights Develop. <br />ment Agreement C3 <br />Otber Actions (specify): <br />Rezoning o <br />Z0619 Text or Map Amendment o <br />Variance 0 <br />` Conditionwl Use Application 4 <br />Conditional Use Appfication/tmmuGn:tured <br />Home Park or CwnMound o <br />Conditional Use Application/urani urn <br />exploration and1or development a <br />Sign Permit o <br />Temporary i.ise permit ? <br />H. B. 1041 Text Amendment o <br />H.B. 1041 Development permit o <br />Development in a SCO District o <br />Per lanent t&nufactured Home <br />Permits: <br />Single-wide o <br />Double-wide o <br />2• APPLICATION STATUS (For County Use Only): <br />Date Application ived: ON <br />Received by: <br />Application Fees Required: <br />Gate Application Fees Paid: d!U <br />3. APPLICATION AND OWNER INFORMATION: <br />Name of Applicant: 1'•imo <br />Address: 0 A a~: <br />D. Williams and Betty J. ;p1liams <br />----------- - - <br />Telephone and/or FAX: (719) 738-6263 <br />Name of Land Owner. Timothy D. Williams and Batty J. Williams <br />Address: <br />Telephone: 718-6Z63 <br />-t. SUMMARY OF APPLICATION: <br />Land Area Included Within the <br />Scope of this Application: s acres <br />square feet or acres <br />Page 287