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<br />-2- <br />10. Correspondence Information <br />APPLICANT/OPERATOR (name, address, and phone of nape to be used on permit) <br />Individual's Name: Fremont County Board of County Commissioners <br />Canpany Nane: Fremont County (Road District li3-Commissioner Chess) <br />Street: 615 Macon Avenue, Rcom 105 <br />City: Canon City <br />State: Colorado Zip Code: 81212 <br />Area Code: (71~ Telephone: 275-1515 <br />PERMITTING CONTACT (if different fray applicant/operator above) <br />Individual's Name: Marshall Butler, Assistant Plannine Director <br />Compdry Name: Fremont County Department of Plannine 5 Zonine <br />Street: 615 Macon Avenue. Room B-5 <br />Crty: Canon CitX <br />State:' ~ oraan Zip Code: R »~z <br />Area Code: r~iel Telephone: 275-7510 <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual 'S Name: Marshall B+ 1 Accic an Plannin Di a to <br />Company Name: Fremont County Department of Plann in2 & Zoning <br />Street: 615 Macon Avenue, Room B-5 <br />City: Canon Ci~:v <br />State: Colorado Zip Code: 81212 <br />Area Code: 719 Telephone: 275-7510 <br />11. Primary future Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />land use - Rangeland(RL) ~ Forestry(FR) x Nildlife Habitat(WL) <br />(check one): ` Residential(RS) Recreation(RC) Industrial/Cammercial(IC) <br />_ Developed Water l~sources(NR) _ Solid Neste Disposal(ND) <br />12. Primary present _ Cropland(CR) _ Pastureland(PL) General Agriculture(GA) <br />land use _ Rangeland(RL) _ Forestry(FR) x Mlldlife Nabitat(ML) <br />(check one): _ Residential(RS) Recreation(RC) _ Industrial/Lammercial(IC) <br />Developed Water 1~esources(MR)~ ' <br />