Laserfiche WebLink
Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Brian Busse <br /> Permittee Company: Brian Busse <br /> Address: 1437 G St. <br /> Salida, CO 81201 <br /> Phone Number: (719)235-0680 <br /> g • �' 85Q8 <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Yolanda Busse <br /> Company: Brian Busse <br /> Address: 1437 G Street <br /> Salida, CO 81201 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: ��,A�►buSSect, urt-� ���� �/ <br /> r <br /> Inspection Contact: Brian Busse <br /> Company: Brian Busse <br /> Address: 1437 G Sreet <br /> Salida, CO 81201 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: Aquamineusa@yahoo.com <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> .(. •, C_ 2'j- �, ems♦ 3 i ��17 <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br />