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<br /> <br />_2_ ' <br />10. Correspondance Information <br /> <br />APPLICF,NT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: Bob Allen <br />c; ty: <br />State: <br />Area Code: <br />303 Telephone: <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Gary s. Tuttle <br />Company Name: Tuttle Applegate Rindahl, Inc. <br />Street: 11990 Grant Street, Suite 910 <br />Clty: Denver <br />State: CO Zip Code: 80233 <br />Area Code: 303 Telephone: 452-6611 <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 />Company Name: <br />Street: <br />C & M ComnaniPs <br />P. 0. Box 490: 7916 Niwot Road <br />Niwot <br />_ Zip Code: 80544 <br />443-1099 <br />11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ®xGeneral 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 Resources(WR) ^ Solid Waste Disposal(WD) <br />12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ~ General Agriculture(GA) <br />land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />(check cne): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC) <br />^ Developed Water Resources(WR) <br />To the best of my knowledge, all the information presented on this application form and <br />the attached Exhibits A-P are true and correct (mu t be signed by applicant/operator). <br />Date : 5-'l_~ BY : L1 , ~ )~.~~_ <br />111 ~r~~~ <br />rt e <br />