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-2- <br />10. Correspondance Information <br />APPLICANT/OPERATOR (name, address. and phone of name to be used on permit) <br />Individual's Name: Sprague M. Mayger <br />Company Name: Asphalt Paving Company <br />Street: 19602 West 94th Street <br />City: Golden <br />5~~; Colorado Zip Code: $0401 <br />Area Code: ,3 os Telephone: 279-6611 <br />PERMITTING CONTACT (1f different from applicant/operator above) <br />Individual's Name: Same as above <br />Compard Name: <br />Street: <br />City: <br />. State: Zip Code: <br />Area Code: Telephone: <br />INSPECTION CONTACT (1f different frao applicant/operator above) <br />Individual's Name: Same as above <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary future Cropland(CR) xxpasturetand(PL) General Agriculture(GA) <br />land use Ranggeland(RL) Forestry(FR) Nildlife Habitat(NL) <br />(check one): Residentlal(RS) Recreation(RC) Industrial/CoAmercial(IC) <br /> Developed Mater Resources(NR) Solid Naste Disposal(ND) <br />12. Primary present Cropland(CR) x~astureland(PL) General Agriculture(GA) <br />land use Rangeland(RL) Forestry(FR) Nildlife Habttat(ML) <br />(check one): Res dential(RS) Recreatlon(RC) Industrial/Commercial(IC) <br /> Developed Nater Resources(NR) <br />To the pest of app knowledge, all the informatlon presented on this ipplicaN on fort and <br />the attached Exhibits A-P are true and correct (oust be signed by applicant/operator). <br />Date: By: <br />e <br />