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~~~6~9 ~ ~ <br />-2- <br />10. Correspondence Information ~ <br />APPLICANT/OPERATOR (name. address, and phone of name to be used on permit) <br />Individual's Name: Fremont Countv Board of Countv C.ommissionere ' <br />Company Name: From nt ~,. ..t~vc~a n~cC it3 ~~ ~:~ ^'~~ss) <br />Street: 615 Macon Avenue, Room 105 <br />C{ty: Canon City <br />State: Colorado Zip Code: 81212 <br />Area Code: 719 Telephone: 275-1515 " <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Marshall Butter. Assistant Planning n;r~_ <br />Company Name: Fremont Gonnty Denartment of Planninb+ ~. Zuni na <br />Street: 615 Macon Avenue" Rnnm R-5 <br />City: Cannn (i r~ , <br />5tdte: f:nlnrarln Zip Code: x.121, i <br />Area Code: ~~i4~ Telephone: „S_~c,n <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual's Name: Marshall Butler, Assistant Planning: Director <br />Company Name: Fremont Countv Department of Plannin¢ & Zonine <br />Street: 615 Macon Avenue. Room B-5 i <br />i <br />C{1<y: Canon Citv ' <br />State: Colorado Zip Code: R1ai2 <br />Area Code: (719) Telephone: 275-~slD <br /> <br />11. Primary future Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />land use - Rangeland(RL) _ Forestry(FR) ~ Wildlife Habitat(WL) <br />(check one): Residential(RS) Recreation(RC) Industrial/Commerciai(TC) <br /> Developed Water 1~esources(WR) _ Solid Waste Disposal(WD) <br />12. Primary present Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />land use - Rangeland(RL) _ <br />Forestry(FR) ~ Wildlife Nabitat(WL) <br />(check one): - Residential(RS) - Recreation(RC) Industrial/Cammercial(IC) <br /> Developed Water l~sources(WR) _ <br />