Laserfiche WebLink
7/'? ~ ,P=! ICAO!;;'! C'=='::<LI~T • <br />LIMITE7 i+~PACT (i10) a 4:;?tE ~~ ~~ ~~"~ i°ll: c81-7Y <br />SPECIAL 10-DAY (11I) ~ CO::P!=+E (=ICED) ?AT. •~!°!2 /`/~t- <br />I.cH <br />COM.PL=+° aDEQUaT2 cerr.~~lTs <br />Aoolication =prn: <br />1. Name of o oration I ~ I <br />If ~ ~~ <br />:~ <br />2. Nar..e of applicartc/opera tar I ~ I <br />3. Address E phone, Iecal <br />1 <br />w. Address v phone, gznerai -i / <br />j. Perscn to contact <br />f <br />5. Surface owners ,-~ ` <br />7. Mineral owners <br />8. Source of legal right-to-enter I / I I V~/.~ <br />9• TYFe of mine/substance I ~- <br />1C. General lacaticn ele•iatian <br />II. County I /~ <br />12. Acreage ~ ~ ~ Q,~~ <br />lu. °e n I <br />r/ I <br />14. Presznt land use <br />Ij• Proposed future use / <br />I <br />16. ;iynature <br />Laos and Exhibits <br />EXH131T A - Lesal Description __ <br />EXHI9IT 8 - Mining Pian <br />v <br />EXH131T C - Yap I `~ <br />E;CH aIT O - 'ai ldl fe, 'mater P~ese~rces, <br />Va3etatlon, Seil; Inror-a;icrt <br />