Laserfiche WebLink
CHAFFEE COUNTY <br />PLANNING 8 ZONING DEPARTMENT <br />P.O. BOX 699 .PHONE (719) 539-2218 <br />SAIIDA, CO 81201 FAX (719) 539-7442 <br />~;~ WEBSITE Www.chaffeeco~ntv.ora <br />~fYnO'"" ~ APPLICATION FOR <br />MINING PERMIT <br />MINING and MILLING OPERATIONS <br />Deaauna is me r.asr Monoav or eacn mourn <br />OF PROJECT TTOUt CY <br />OF APPLICANT ACa PTOdllCtS, Inc: <br />iG ADDRES3 P.O. Box 1.887 <br />HONE 719-395-3790 Fax 719-495_g791~ <br />ERTYADDRESSORGENERALLOCATION 1 mils crnith of 7A/~R5 nff C'R '1(11 <br />21PTION OF PROPOSAL 20 arTe BLM 1 aasa (amend Trcnit (:rack Pi tl <br />NG USE OF PROPERTY Public BIM land <br />ZONING Recreational PARCEL# <br />DESCRIPTION AYtarhad i n amyl i rat•i nn <br />OWNERSHIP INFORMATION <br />Please list the names of all persons and com panies who hold an interest in the described property (land <br />owner, mineral rights owner, lessee, etc.) Application will not be accepted without the required signatures or a <br />letter of authorization from each. Attach additional sheets as necessary. <br />NAME Bureau of Land M?naopnwnt SIGNATURE laYtar of A~iYhnri~atirm Attar d <br />INTEREST IN PROPERTY OWI12T <br />ADDRESS 3170 E Main St Canon Cry. Co 81212 <br />TELEPHONE 719-269-BS00 FAX _ 71Q_96q_RSQ9 <br />CORPORATE REGISTERED AGENT (If applicable) <br />ADDRESS <br />TELEPHONE FAX <br />STAFF USE ONLY <br />Applltatlon recelvetl by Dats _ <br />Pre-Applleatlon Con/erenee Date Hearing Dats <br />Fee S Cheek # <br />Case # <br />Updated 9/16/04 <br />