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All applicants must submit one complete application and attend a pre - application <br />conference with the Park County Planning Department Staff seven (7) to ten (10) <br />working days prior to the application submittal deadline. Following the acceptance of the <br />complete application the applicant must submit twenty- five (25) collated paper copies <br />or CD media as requested to the Park County Planning Department on or before the ' f 4 .-.D <br />application submittal date. <br />If you have questions regarding this form please contact the Planning Department by <br />phone at (719) 836 -4254, or c -mail pcpd(a parkco.us, fax (719) 836-4351, or write to us <br />at P.O. Box 1598 Fairplay, CO 80440. <br />A. APPLICANT AND OWNERSHIP INFORMATION <br />Applicant's Name: 3a.c,k. AU en /Crsu.iI- 61Dpaw+-4- 1d g-c <br />Mailing Address: F. OK $ 5r A e . 8e x a a a. <br />City: State: C.a Zip: S 441 <br />Telephone <br />(work) 717 - ss 3L # 'fM to <br />Owner's Name: 30. c.. l� <br />PARK COUNTY APPLICATION FOR <br />CONDITIONAL USE PERMIT <br />NON - REFUNDABLE APPLICATION FEE: $540 <br />A li.. ►>.. <br />Mailing Address: A o X 39 A <br />(home) 7 t 7- g36- ayfax) <br />Telephone No.: 26- ?3c -41. 7 a <br />B. PROPERTY INFORMATION <br />Complete Legal Description of Property Proposed for the Conditional Use Permit (attach <br />additional page, if necessary): n -D-eeb <br />Street Address of Property: 44.510 5 4a Le,1da y ?► <br />Property's Total Acreage: $ f J Current Zone District of Property: <br />Page 1 of <br />Conditional Use Permit - Revised WO <br />