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3 <br />~i <br />-2- <br />10. Correspondence Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />IncliVidual's Name: HARRY D. COVEY <br />Company Name: PHIL SHERIDAN LODE <br />Street: 479 COUNTY ROAD 83 <br />C{ iy : BOULDER <br />State: COLORADO Zip Code: 80302 <br />Area Code: 303 Telephone: 442-0657 <br />PERMITTING CONTACT (if different from Applicant/Operator, above) <br />Individual's Name: SAME <br />i <br />INSPECTION CONTACT (if different from Applicant/Operator, above) <br />Individual's Name: SamE <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary <br />i <br />i post- <br />nd <br />T Cropland(CR) <br />- <br />d _ Pastureland(PL) <br />R <br />n <br />n <br />m e Rangelan <br />(RL) _ Forestry(F <br />) <br />use c eclc one): x Residential(RS) Recreation(RC) <br /> Developed Water~Fesources(WR) <br />12. Primary ~•esent Cropland(CR) <br />- _ Pastureland(PL) <br />land use Rangeland(RL) Forestry(FR) <br />(check one): ~ Residential(RS) _ <br />Recreation(RC) <br /> Developed Water Re sources(WR) <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />General Agriculture(GA) <br />-_ Wildlife Habitat(WL) <br />_ Industrial/Commercial(IC) <br />Solid Waste Disposal(WD) <br />General Agriculture(GA) <br />_ Wildlife Habitat(WL) <br />Industrial/Commercial(IC) <br />Mining{MN) <br />