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<br />LAND USE PERMIT <br />San Juan County, Colorado <br />Licant:. <br />Lle-k Pe Zr it No. <br />Tess: 5945" 40V <br />/ and State: Tel hone': <br />Slde?c f??r Co /?33 7 S"7_A+t <br /> <br />•tttstta*tt <br />s of Concern: (Applicant should provide attachments for each relevant area) <br />(Land Use Administrator will.initial approval if a'ppr'opriate) <br />'erty Ownership Permission of•Property Owner <br />nity Map Plans and Drawings <br />ral Hazards. Zoning Compatibility <br />tation Environmental'Impacts <br />ding Permit Federal and/or State Permits_ . <br />rity Emergency Services ?. <br />' T <br />ing Insurance Covarage <br />n Up County Road Impact <br />r Other .........'............. <br />w rpm Z) <br />Application Submitted: By: (Si tur ) <br />Permit Issued: B Signatu <br />itio s: <br /> <br /> <br /> <br />i?? ar:cs r•f Ccndit.ions: sv: (^?ar•:r,rrta:~ ---, __ <br /> <br />:s and Times of Use: <br />iI "e Y'e M zii ep <br />.lion of. Use -