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? PERMITS: Copies of all necessary permits from those governmental agencies from which approval is required by federal or <br />state law, including Section 404 of the Federal Water Pollution Control Act, 33 USC 1334. <br />PERMIT REQUIRED: <br />? FEES: <br />? A non-refundable fee must be made at the time of filing this application payable to: CONEJOS COUNTY TREASURER. <br />? $500.00 Mining Permit (110) <br />? $1,500.00 Mining Permit (112) <br />? $250.00 Home Occupation <br />Of $350.00 Other Special Use - oY? `t?IAo <br />? $3,000.00 Oil and Gas Uses <br />? Plus postage, publication and professional fees. To be paid prior to final public hearing <br />I have thoroughly read and understand the aforementioned document and by signing below I acknowledge the truth of its contents <br />and my additions. <br />aa P - ?P_ <br />Applicant S gnature0% te 4 <br />Date <br />F&'Oftp Use t?nly II <br />Case Number: C C La-o (u - -,:So <br />Application Received Date: 9 1 g // U Received by: Lb <br />Application fee $22_ <br />Comments: <br />Special Use Review 03-2009 <br />Treasurer's Receipt # /, -) X <br />3