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GENERAL44706
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Entry Properties
Last modified
8/24/2016 8:13:26 PM
Creation date
11/23/2007 1:15:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988048
IBM Index Class Name
General Documents
Doc Name
APPLICATION FOR USE BY SPECIAL REVIEW PERMIT IN WELD CNTY COLO
Media Type
D
Archive
No
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-2- . <br />' 10. Correspondence Information <br />APPLICANT/OPERATOR (name. address. and phone of name to De used on permit) <br />Individual's Name: R. A. Everist Jr. <br />Company Name: Andesite Rock Company <br />Street: z,z Cnn+h Dhi77iFya Crraat <br /> <br />1 <br />1 <br />1 <br /> <br /> <br />City: c; rniv Fa 1 1 a <br />State: Snti~th T)aknta Zip Cade: - 57117 <br />Area Code: ~ Fo5 Telephone: 279-7678 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: rary~Tut+te <br />Company Name: Tuttte ApDleaate Rindahl, Inc .__ <br />Street: 11990 Grant Street, Suite 410 <br />City: Denver. <br />State: ~n,n,-a~~ Zip Code⢠Rn~~~ <br />Area Code: 303 Telephone: 452-6611 <br />INSPECTION CONTACT (1f different from applicant/operator above) <br />Individual's Name: R. A. Everist. Jr. <br />Company Name: ApAP=;ra Rnnk ('omDany <br />Street: <br /> City: <br /> State: <br /> Area Code: <br />1 <br />11. Primary future <br /> land use <br /> (check one): <br />a1R Roy h Phillips Street <br />Sioux Falls <br />South DAkota Zip Code: 57117 <br />605 Telephone: 279-7678 <br />O Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br />1® Rangeland(RL) D Forestry(FR) ^ Wildlife Habitat(WL) <br />O Residential(RS)D Recreation(RC) D Industrial/Commerclal(IC) <br />O Developed Water Resources(WR) O Solid Waste Disposal(WD) <br />' 12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br />land use ~ Rangeland(RL) O Forestry(FR) O Wildlife Habitat(WL) <br />(check one): O Residential(RS) O Recreation(RC) ^ Industrial/Commercial(IC) <br />O Developed Mater Resources(WR) <br />' To the Dest of a0' knowledge, all tfie information presented on this application form and <br />the attached Exhibits A-P are t-ve and correct (must be signed by applicant/operator). <br />Date: By: <br />1 <br />~ e <br />1 <br />
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