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1 <br />1 <br />' -2 <br />' I <br />f ti <br />10. orma <br />on <br />n <br />Correspondence <br /> APPLICANT!OPERATOR (name, address, and phone of name to be used on permit) <br />' Individual's Name: Bob Allen <br /> Company Name: c s M companies <br />' ~ Street: P. O. Box 490 - 7916 Niwot Road <br /> City: Niwot <br />' State: Colorado Zip Code:80549 <br /> Area Code: 303 Telephone: qq3-1099 <br />' PERMITTING CONTACT (if different from applicant/operator above) <br /> Individual's Name: Mike Applegate <br /> ComF~any Name: Tuttle Applegate Rindahl, Inc. <br />' StrE~et: 11990 Grant Street Suite 410 <br /> City: Denver <br />' SLa1:e: C'nlnrado Zip Code: 80233 <br /> Area Code: Telephone: <br />' INSPECTION CONTACT (if different from applicant/operator above) <br /> Individual's Name: <br /> Company Name : <br />' Street: <br /> City: - <br />' State: Zip Code: <br /> Area Code: Telephone: <br />1 <br />11. Primary future O Cropland(CR) O Pastureland(PL) ~ General Agriculture(GA) <br /> land use p Rangeland(RL) O Forestry(FR) O Nildlife Habitat(NL) <br /> (check one): p Residential(RS)O Recreation(RC) O Industrial/Cormierctal(IC) <br />' ^ Developed Water Resources(NR) ^ So11d Neste Disposal(ND) <br />12. Primary present ^ Cropland(CR) O Pastureland(PL) f~ General Agriculture(GA) <br />' land use ^ Rangeland(RL) ^ Forestry(FR) O Nildlife Habitat(NL) <br /> (check one): ^ Resldentlal(RS) O Recreation(RC) O Industrial/Commerclal(IC) <br /> O Developed Mater Resources(NR) <br />' To the Dest of aiy knowledge, all the Information presented on this application form and <br />the attached Exhibits A-P are true and correct (ew be signe((d''~~••by''11applicant/operator). <br />' Date: Z -Z $ - `~C1 BY ~ l_.1.1~J~~. <br />~ ec u~' tie 1~escDenT <br />' e <br />