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<br />-2- <br />10. <br />Correspondence Information <br />APPLICANT/OPERATOR (name. <br />Individual's Name: <br />address. and phone of name to be used on permit) <br />Fremont County Board of County Commissioners <br />COmpariy Name: Pru.nnnt r„ nr3, (8naa nict It3 - r^ r~~ss) <br />Street: 615 Macon Avenue, Room 105 <br />City: Canon City <br />State: Colorado Zip Code: 81212 <br />Area Code: 719 Telephone: 275-1515 ' <br />Area Code: ~~~gl Telephone: „s_ls,n ' <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual's Name: Marshall Butler, Assistant Plannin;: Director , <br />Individual's Name: Marshall Butler. Assistant Planning n; or ~ <br />_ _ <br />Compard Name: Fremont County Department of Planninb+ 6 Znninn ' <br />Street: 615 Macon Avenue Rnnm R-S <br />City: .anon C'ry ' <br />State: fnlnrarin Zip Code: Q,,,, <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Caoparfy Name: Fremont County Department of Planninc & Zoning ~ <br />Street: 615 Macon Avenue, Room B-5 <br />City: Canon Citv <br />State: coloraao Zip Code: Qi~l2 ~ <br />Area Code: (7191 Telephone: 275-~sln <br />11. Primary future _ Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />land use _ Rangeland(RL) _ Forestry(FR) ~ Wildlife Habitat(WL) <br />(check one): Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />_ Developed Water l~sources(WR) _ Solid Waste Disposal(WD) <br />12. Primary present Cropland(CR) _ Pastureland(PL) General Agriculture(GA) <br />land use - Rangeland(RL) Forestry(FR) ~ W11d1ife Habitat(WL) <br />(check one): - Residential(RS) - Recreation(RC) Industrial/Commerclal(IC) <br />Developed Water )lesources(WR) _ <br />