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Conejos County NOV 2 6 2010 <br />Land Use Office PO Box 197, Conejos, pir- <br />PHONE 719-376-2014FAX 719-376-6769 MUU04 °-04-2- <br />?? Land Use Special Use Review - Application <br />APPLICANT <br />Name: R / a <br />Mailing Address: <br />Telephone: Fax: <br />City/State/Zip Coc <br />Email: <br />PROPERTY OWNERS (if dWerent than applicant, a notarized letter from the owner/s consenting to this application, must be <br />submitted) <br />Name: <br />Mailing Address: <br />Telephone: <br />City/State/Zip Code <br />Email: <br />LEGAL DESCRIPTION OF PROPERTY (Attach ADMINprintout from County Assessor) <br />S E 1 erS S W11 18' 3S nor ?c R' ast <br />Quarter Section Township Range Subdivision <br />SIZE OF PARCEL: YO <br />acres/feet <br />Lot Block <br />CURRENT ZONING: MAgricultural Rural ?Residential <br />?Community/Town-site ?Commercial ?Industrial <br />Adjacent Zoning: North _kq- South A11A_ East West <br />COMMO DESCRIPTION OF PROPERTY: (address or mileage from hwy, county road or landmarks) <br />G ]? <br />DESCRIPTION OF EXISTIN`4 , USE: (Inciude subject property and adjacent properties within 500 feet of the subject property) <br />! 11, <br />DESCRIPTION OF PROPOSED USE: <br /> <br /> <br />IF THE PROPOSED USE IS ANY OF THE FOLLOWING ADDITIONAL IqX E <br />MATERIAL IS REQUIRED: r <br />? Wireless Communication Facilities D 2 2410 <br />Mining N®v <br />Major Electrical & Natural Gas Facilities EUD OFFICE <br />DURAN ?? RECtAMAT10NSpecial Use Review 03-2009 ?,??s1DN ..n SAFE ?? <br />Fax: