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<br /> <br />-z- <br />' 10. Correspondance Information <br /> APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br /> Individual's Name: A. Walter Wise <br /> Company Name: Rattla Mo mtain Reanurrpy lnr <br /> Street: ox 3.3~ C.L,ty <br />' City: yo~cton <br /> State: TPXac Zip Code:7~r~170T 77vo'-' <br />1 Area Code: ( 713) Telephone: ^^,Y;,~q.;~~ ~-S ~ '~i~ o <br /> PERMITTING CONTACT (if different from applicant/operator above) <br /> Individual's Name: Came <br /> Company Name: <br />' Street: <br />Cit <br /> y: <br /> State: Zip Code: _ <br /> Area Code: Telephone: <br /> INSPECTION CONTACT (if different from applicant/operator above) <br />~ ~ Individual's Name: Gary Dodson <br /> Company Name: Battle Mountain Resources. inc. <br />' Street: P.O. Box 1600 <br />Al <br />i <br /> amosa <br />C <br />ty: <br /> State: Colorado Zip Code: 81101 <br /> Area Code: (719) Telephone: 612-3362 <br /> 11. Primary future O Cropland(CR) O Pastureland(PL) ^ General Agriculture(GA) <br /> land use O Rangeland(RL) O Forestry(FR) ® Wildlife Habitat(WL) <br /> (check one): ^ Residential(RS)^ Recreation(RC) ^ Industrial/Commercial(IC) <br /> ^ Developed Water Resources(WR) O Solid Waste Disposal(WD) <br /> <br /> 12. Primary present O Cropland(CR) ^ Pastureland(PL) ^ General Asriculture(GA) <br /> land use ^ Rangeland(RL) O Forestry(FR) ® Wildlife yabitat(WL) <br /> (check one): O Residential(RS) ^ Recreation(RC) ^ Industrial/Commerrial(IC) <br />I O Developed Water Resources(WR) <br /> To the best of my knowledge, all the information presented on this application form and <br /> the attached Exhibits A-P are true and correct (must be signed by app i~:an o tor). <br /> Date: 1/~Z~Bg By: ~~ <br />I ~T /•zc <br /> ~ e <br /> <br />v <br />l <br />