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~ • III IIIIIIIIIIIIIIII <br />DEPARTMENT OF NATURAL RESOURCES <br />Devld H. Getchee, Exetullve Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SHELTO N, Dlreetor <br />Rkherd D. lemur <br />Governor <br />REGULAR (112) PERMIT'S <br />APPLICATION FORIA acs i3 <br />MINED l-AND <br />-[10 IVISION <br />Application for Mining and Reclamation Permit, Pursuai~E~~S. 1913, 34-32-1 b1, <br />et seg, as amended. <br />l~~ - ~ 7 - l.S ~ <br />(Type of Print Clearly) <br /> <br />1. Name of Operation <br />(pit, mine or site name) <br />Guenzi Sand ~ Gravel Pit <br />2. Name,of Applicant/Operator <br /> (name to be used on permit) I Logan County Board of County Cor,;l;lissioners <br />3. Address and Phone Number of Logan County Courthouse, J00 1?ain St. <br /> Local Office I Sterling, CO 00751 (303) 522-0000 <br />4. Address and Phone Number of <br /> General Office I Same as above <br />5. Name and Phone Number of Person Gary Uebus, County Planner <br /> Staff Members Should Contact I (303) 522-0080 <br />6. Parent Corporation, If Any <br /> (include name and address) I hone <br />7. Owner(s) of Record of Affected <br /> Land (surface area) ~ Kenneth J. Guenzi <br /> (if more than two, list in <br /> EXHIBIT .P) <br />8. Owner(s) of Substance to be ~ I:ennetli J. Guenzi <br /> Mined (if more than two, list I <br /> in EXHIBIT P) I <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30~) 866-3567 <br />