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-2- <br />. Correspondence Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: Michael C. Leidich, Mines Manager <br />Company Name <br />Street: <br />City: <br />State: <br />Area Code: <br />PERMITTING CONTACT <br />Individual's Name: Lloyd V. "Buck" Barnhart <br /> <br />Company Name; <br />Street: <br />City: <br />State: <br />Area Code: <br />INSPECTION CONTACT <br />P.obinson Brick Company <br />1845 West Dartmouth, P.O. Box 5243 <br />Denver <br />Colorado Zip Code• 80217 <br />303 Telephone: 781-9002 <br />(if different from applicant/operator above) <br />Barnhart Agency, Inc. <br />212 West 13th Street <br />Pueblo <br />Colorado Zip Code: 81003 <br />719 Telephone: 543-1324 <br />(1f different from applicant/operator above) <br />Individual's Name: Same as permitting contact <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />11 <br />Primary future <br />land use <br />(check one): <br />12. Primary present <br />land use <br />(check one): <br />Zip Code: <br />Telephone: <br />~~ Crop~an~(~~}~n9 ^c Pasture~land(PL) <br />^ Rangeland(RL) ^ Forestry(FR) <br />^ Residential(RS)^ Recreation(RC) <br />^ ~~Dtteveloped Waster Resources(WR) <br />I~'crop~andr(~~t~~n9 pt Pastureland(PL) <br />^ Rangeland(RL) ^ Forestry(FR) <br />^ Residential(RS) p Recreation(RC) <br />^ Developed Water ResourceslWR) <br />^ General Agriculture(GA) <br />^ Wildlife Habitat(WL) <br />^ Industrial/Commercial(IC) <br />^ Solid Waste Disposal(WD) <br />^ General AgricultureiGA) <br />^ Wildlife Habitat(WL) <br />^ Industrial/Cammercial(IC) <br />To the best of my knowledge, all the information presented on this application form and <br />the attached Exhibits A-P are true and correct (must be signed 6y applicantloper or}, <br />Date: January 14, 1991 By: I dI~G~ ^~~ <br />oy a m r <br />Consultant and Agent <br />• Title <br />