PERMFILE42486

• Permit No: M1991060
• IBM Index Class Name: Permit File
• Doc Name: RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Lincoln County
Company Name• Courthouse - 718 3rd Ave.
Street:
City: Hugo,
State: 'Colorado Zip Code: 80821
Area Code: 719 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Same
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT
Individual's Name: Same
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC:
STATE OR FEDERAL LANDOWNER (if
Agency:
Street:
City:
State:
Area Code:
N/A
Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State:
Area Code: Telephone:
Zip Code: