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-2- <br />10. Correscpondance Information <br /> APPLI[:ANT/OPERATOR (name, address, and phone of name to be usec on permit) <br /> ~:ndividual's Na me: _ <br /> [ompany Name: _ M; Saari R C.ravPl~ r.~. <br /> Street: _ a_n_ ~, x ~5~ <br /> [•1 ty: Fru mtai n <br /> State: r,„~2r~ „ Zi: Code: gpgi7 <br /> Area Code: ~~0 Telephone: ~R~_~ig <br /> PERMITTING CONTACT (if different from applicant/operato~~ above) <br /> Individual's Name: <br /> Company Name: ____ <br /> Street: <br />- <br />-~- <br /> City: _ <br /> State: Zip Code: _ <br /> Area Code: Telephone: <br /> INSPECTION CONTACT (if different from applicant/operator above) <br /> Individual's Na me: _ __ <br /> Company Nave: _ <br /> Street: _ <br /> City: _ _ <br /> State: Zip Code: _ <br /> Area Code: Telephone: ___ <br />ll. Primary future O Cropland(CR) ^ Past~ureland(PL) ^ Gen~aral Agriculture(Gti) <br /> land use JIO Rangeland(RL) ^ Fore~try(FR) ^ Wildlife Habitat(WL) <br /> (check one): ^ Residential(RS)^ Recreatlon(RC) (] Industrial/CommerciallIC) <br /> p Oeveloped Water Resources(WR) ,~ So11d Waste Dispdsal(WD) <br />12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br /> land use ® Rangeland(RL) ^ Forestry(FR) O Wildlife Habitat(WL) <br /> (check one): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC1 <br /> ^ Developed Water Resour~Ces(WR) <br /> 9 <br />To the best of my knowled ge, all the information presented on this application form and <br />the attached Exhibits A-P are true and correct '(must be sign--~y,applicant/operator). <br />Date: <br />Man'h4..1988-- <br />-~-- B .: ~:~~ f <br />y. s'~r~ --- -- <br /> r~---•---------- <br />