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' Chaffee County Planning Department <br />104 Crestone Avenue <br />Salida, Colorado 81201 <br />APPLICATION FOR <br />MINING PERMIT <br />MINING and MILLING OPERATIONS <br />Ap Ilcat/on Fee 5125 A pllcation Fllin Dead/!ne Is the Last Monda o/each Month <br />GENERAL INFORMATION <br />NAME OF PROJECT River Park RarrPatinn Ar`r•acc <br />NAME OF APPLICANT V. Paul Moltz /ACA Products Inc. 0[>erator <br />MAILING ADDRESS P.O. Box 1887 ,Buena Vista Co 81211 <br />TELEPHONE 719=345-37Q~ F~ -7~-°-~A~ ~~ <br />PROPERTY ADDRESS OR GENERAL LOCATION co~titt ~7,Tcaun~hip 1~~ Sottth,Pazu32 7AbTest <br />DESCRtPTIONOFPROPOSAL PrivaTe arrest marl near Arkan.cac River <br />EXISTING USE OF PROPERTY Pasture Land <br />EXISTING ZONING Rural PARCEL# 119 <br />LEGAL DESCRIPTION Attached <br />OWNERSHIP INFORMATION <br />Please list the names of all persons and companies who hold an interest in the described property (land <br />owner, mineral rights owner, lessee, etc.) Application will not be accepted without the required signatures or <br />a letter of authorization from each. Attach additional sheets as necessary. n , <br />NAME V. Panl Mnlt~ SIGNATURE <br />INTEREST IN PROPERTY <br />ADDRESS P.O. Box 1887 <br />TELEPHONE 719-395-~79f1 FAX 719-'295-9790 <br />CORPORATE REGISTERED AGENT (If appllCable) <br />ADDRESS <br />TELEPHONE <br />FAx <br />STAFF USE ONLY <br />Apppcation received by, <br />Date <br />Pre•Appl/cation Conference Date Mriaring Date <br />Fee S Check # Case # <br />