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<br /> <br />-2- <br /> <br />3. Address and Phune ivu~noer of FREMONT COUNTY COURTHOUSE <br />local Offices P.O. Box 344 <br />CANON CITY COLORADO 81212 <br />4. Address and Phone Number of <br />General Offices SAME AS 73 <br />5. Name and Phone Numoer of Person BILL GIORDANO - DIRECTOR OF PLANNING & ZONING <br />Staff Alemoers Should Contact P.O. Box 349 <br />CANON CITY, COLORADO 81212 303-275-1511 ex. 50 <br />6. Owner(s) of Record of Affected Land <br /> (surface area) (If more than 2, list below) FREPIONT COUNTY <br />7. Owner(s) of Substance to be Mined <br /> (If more than 2, list below) FREMONT COUNTY <br />t3. Source of Legal Right-To-enter <br /> (Indicate what type of proof is DEED <br />• included in EXHIBIT G - lease, <br /> need, notarizes letter, etc.) <br />9. Type of i•iine and Substance to oe Mined <br /> (Specify underground, open pit, OPEN PIT - DECOMPOSED GRAPlITE <br /> quarry, etc. & suostance(s) to <br /> oe mined] <br />lU. General Location and Eleva*.ion THIS TRACT IS APPROX. 5 MILES SOUTHEAST OF HOWARD <br /> (i`liles & direction from nearest OR ABOUT 3 MILES NORTH OF COALDALE, COLORADO. <br /> town & approximate site elevation) THE APPROXI MATE SITE ELEVATION IS 7500 FEET. <br />11. County FREMONT <br />12. Acreage of Affected Lands <br />(Tot31 surface acreage to be 7.64 ACRES inc. roadway <br />included in permit) <br />13. Application Fee (See applicaole <br />. Rule to detzrnine amount) N/A <br />