2015-11-06_REVISION - M1977081

• Permit No: M1977081
• IBM Index Class Name: REVISION
• Doc Date: 11/6/2015
• Doc Name: Notices AR02
• From: DRMS
• To: various
• Type & Sequence: AR2
• Email Name: PSH
• Media Type: D
• Archive: No

10. Correspondance Information
APPLICANT/OPERATOR (name,
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
-2-
address, and phone of name to be used
John F. Hickman - contact
Western -Mobile. Inc.
on permit)
1400 W. 64th Avenue
Denver
Colorado
303
Zip Code:
Telephone: [phone]
80221,
PERMITTING CONTACT (if different from applicant/operator
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
above)
Telephone:
Zip Code:
INSPECTION CONTACT (if different from applicant/operator
Individual's Name:
Company Name:
Street:
above)
City:
State:
Area Code: Telephone:
11. Primary future
land use
(check one):
12. Primary present
land use
(check one):
x Cropland(CR)
- Rangeland(RL)
- Residential(RS)
— - Developed Water
Cropland(CR)
Rangeland(RL)
- Residential(RS)
— - Developed Water
Zip Code:
x Pastureland(PL)
- Forestry(FR)
- Recreation(RC)
risources(WR)
Pastureland(PL)
- Forestry(FR)
- Recreation(RC)
liesources(WR)
General Agriculture(GA)
_
Wildlife Habitat(WL)
Industrial/Commercial(IC)
Solid Waste Disposal(WD)
General Agriculture(GA)
— Wildlife Habitat(WL)
Industrial/Commercial(IC)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A -P are true and correct (must be signed by applicant/operator).
Date: May 23, 1989
By:
John F. Hickman
Manager of Land & Resources
Ti tie