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- ~ • ,. iii iiuiiiiniiiiii <br />~ ~ 4101 D COUfli (, roLORnno <br /> sPLC1nL usr. nPPLlrnrlufJ <br /> rc,~~ <br /> orclJ cur I11lJE PER111T <br /> (gravel pits, etc.) <br />' <br /> 'field County Planning Commission 151u` Ilospital•Road, Greeley, CO <br />~ 1 <br />1 <br /> <br /> <br /> <br /> <br />1 <br /> <br /> <br />For ZODIfIG UEPARTf1E117 Use Only <br />npplicanL: <br />Section: lbcroship <br />Zoning District: <br />Legal Description Alproved (ly <br />4feld County Attorney <br />Site Enh'ancc/Exit Points and Off-Site Transportation Routes Approved 6y <br />_____ 41e1d County Engineer <br />Recommended Road/[irirlge Fee: /flot Required <br />L,~~i,•r To: <br />1) Date: <br />i) _~____ _ <br />--- _ <br />_ -' Da iL' <br />3) __ Datc: <br />__ <br />4) <br />- --- _ __ <br />~ Date: <br />5) Date: <br />nppl ication kevier+ed tsy <br />41e1d County Zoning Department <br />To flc Completed L'y nPPLICAfJT in Accordance 1•lith Procedural Guide Require- <br />menis: <br />1. I (r+tm), the unclersinncd, hereby request a hearing before the t•leld County <br />Planning Coinmissiun conceiving a pro{posed Open Gut GRAVEL (gravel, <br />coal, borrora pit, etc.) mining operation for the follor~ing described unincor- <br />{roraled area of 1-0cld County: <br />LEGAL UESCRIPTIGPI: SEE ATTACFIED LEG_4L DESCRIPTION <br />2. Surface ormer(s) of area of land described <br />!Lune: RICFIABA~3~~T Address:125 E. 4th St. R~lrone: 352-3255 <br />thine: Fanx.TS TSERT Address: " " " Phone: ~"- <br />3. Oc•mer(s) oP minor•al rights to substance to be mined <br />prune: - S.~>~_AS ABOVE P,rlrlress: ---`- Phone: <br />(Jame: _ycgp~ AS ABOVE Address: ~ Phone: <br />a. Source of af~plicants Loyal Right to enter and to mine on the land de- <br />scrihed: SPECIFIC PERFORMANCE CONTRACT (ATTACI~D) <br />(AttacliCcrtiric~ l:opy of any Documentt i~otecJ to the Ueck of This Form <br />l'.ase I~lumber: <br />I'C Ilea.ring Date: <br />CC Ilcarinq Date: <br />porth, kangc: tJest <br />Acrca9e involved: <br />I'rn•nii t Fr.e: <br />Receipt pumber: <br />~,. <br />