PERMFILE114252

• Permit No: M1987064
• IBM Index Class Name: Permit File
• Doc Date: 5/21/1987
• Doc Name: PERMIT APPLICATION
• From: SANDCO
• To: MLRD
• Media Type: D
• Archive: No

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10. Correspondance Information
APPLII;ANT/OPERATOR (name, address, and phone of name to be used on permit)
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ame: J ohn Dillon
Company Name: ~andco
Inc

:itreet: '
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F. G. rox 1773
Pity: Durango,
' :State: L•~lo,:,do Zip Code: ~~~n,
~4rea Code: i~3 Telephone: X47-1?03
' PERMITTING CONTACT (if different from applicant/operator above)
individual's Na me: Same as Above
I;ompany Name:
1 :itreet:
I;; ty
' :State: Zip Code:
Area Code: Telephone:
' INSPE(:TION CONTACT (1f different from applicant/operator above)
:Individual's Na me: SaR:e a:. Hbovr
(:ompany Name:

Street:
(:i ty
State: Zip Code:
Area Code: Telephone:

11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use p Rangeland(RL) ^ Forestry(FR) © Wildlife Nabitat(1dL)
(check: one): ^ Residential(RS)^ Recreation(RC) ^ Industrial/Commercial(IC)
^ Developed Water Resources(WR) ^ Solid Waste Disposal(WD)
12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
' land use ^ Rangeland(RL) ^ Forestry(FR) [~ Nildlife Habitat(WL)
(check one): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC)
^ Developed Water Resources(WR)
To the best: of my knowled ge, all the information presented on this application form and
the attached Exhibits A-P are true and correct (must b signed by applicant/operator).
' Date: =~-- ~~, ~ ~.' J By:
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