PERMFILE103233

• Permit No: M1989009
• IBM Index Class Name: Permit File
• Doc Date: 1/19/1989
• Doc Name: RECEIPT & PERMIT APPLICATION
• From: MLRD
• To: TORRES EXCAVATION
• Media Type: D
• Archive: No

-2-
10. CorrErspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: kud~r ,~orra~ .rim rrernf;alri, .Tr_
Company Name: J-nude Inc.
Street: p_ n_ anv 1 ~{jc~
City: Lamar
State: Zip Code: 81052
e~esa~a
,4rea Code: X19 Telephone: [phone] or 336-2302
PERMI~ITING CONTACT (if different from applicant/operator above)
:individual's Name:
(:ompany Name:
Street:
c; ty
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
city:
Slate: Zip Code:
Area Code: Telephone:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
(check one): ^ Residential(RS)^ Recreation(RC) ® Industrial/Commercial(IC)
^ Developed dater Resources(l~R) ^ Solid Waste Disposal(WD)
12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land ~~se I~ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(lJL)
(check o.~e): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC)
^ Developed Water Resources(WR)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A-G are true and correct (must be signed by app scan operator).
n (~ C
Date : ~_ IO' [~>"I aY ~ ~~~o o ~,, r ~'i~l
. 1 !'. T,
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