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.APPLICATION FOR <br />SPECIAL USE OF THE LAND <br />RIO BLANCO COUNTY, COLORADO <br /> <br />1. Type of Operation(s); <br /> (Pit, strip or t:ndergrcund ni*:e, ~~~e_„f~N~ CJ2/ m~~Q <br />~ <br />Y <br /> or prospecting) CI <br />2. flame of Applicant/Operator: <br />(Name to be used on perr~lt) Lac ,fin <br />U~u2/VIOUNfrs.in Ei7el'q~/ <br />LhL <br /> , <br />, <br />v <br />3. Address and phone number of 3~oO~7 C/z„ ~.S <br /> local offices: CQ 8 /(p 4 p <br />Ran <br />e ( <br />, U <br /> g <br />y <br />v 47o-C~75- y,joo <br />4. Address and phone nunber of /0~7ly $autry ,TonQar-~~tewoy, $,,;+~ <br /> general offices: $ou,tl+ Torrfun, VT 8tfo95 <br /> ~d /-fo /9- CoS00 <br />5, idame and phone numoer(s) cf SC07`P (,l/ahStE.LQt <br /> person that Planning Lepartment <br /> staff should contact: °70- l0 75 -'/ 3.Z ~ <br />6. Otmer(s) of recor-1 of affected (fh~ fp~f $tn_fr:s o~.gmgr,~ (t3l-M~ <br /> land (surface area): <br />a na~ <br /> (if more t;:an two list <br />~ ~u~° /L1oup"f~1~N E~erq j!, lnc <br /> belox in space provided) C/ <br />7. Owner(s) of substance to be mired: (fnitr~$~fa.fg5 n-~~fYI <br />eri~ Ct3LM) <br /> (if more than t.ro, list -unoPar /ease 7v a/uC~o an/p.,„ E.,ev~r A~~• <br /> below Lz space provided) C// <br />8. Source of legal right to enter upcn $B6 Prior 4,PP~~c~cf.l+ns <br /> the land: (Indica~e here the type <br />~ fewer''-/ C:o,`~ den-5~5 <br /> of proof included as EXHIBIT G -- <br /> lease, deed, notazized letter, ~ t3L,lq. lZ,J.uJ, <br /> etc.) <br />9. Type of mine and substance(s) to <br /> be mined (fn~er <br />rean~ G~0.-~ <br /> (Specify underground, ~r.rip, open pit, ~ <br />C/ <br /> and substance(s) sravel, etc). <br />10. General location and Elevation: ,gPProxinra#z,/ <br />/O.T;/es no~~l,_~~s-F <br /> (Miles & directicn From nearest <br />`own and the apprc;<imace eleva- y <br />., <br />°'+~' 1Zah~°'~>'' E/e'r~'t'v" ~"~~ +rorn <br /> tion at the site) a,6.~cc/ ~/~ to $9D0 fz~7~ <br />3a- <br />~/9 <br />