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i. <br />-2- <br />10. Correspandance Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />IndiVldual's Name: Fremont County Board of County Commissioners <br />Company Name: Fremont County (Road District 111 - Comm. Griffin) <br />$tn?e t: 6th Street & Afason Avenue (P.O.Box 1007) <br />Cit'~: Canon Citv <br />State: Colorado Zip Code: 81212 <br />Area Code: 719 Telephone: 275-1515 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Mar hall Bu l Acaic ant Planning Dirertor <br />COmpol~y Name: ~j-pmnnt (`n~mtir llartartment of PlanninT F 7.nnin~o <br />$trE'et: 6th Street & Macon Avenue (P.O.Box 349) <br />Clt)': Canon City <br />Sta1:e: colorado Zip Code: 81212 <br />Area. Code: 719 Telephone: 27s-751n <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual 'S Name: 1•larshall Butler, Assistant Planning Director <br />Company Name: Fremont County Denartment of Planning & Zoning <br />Street: 6th Street & Piacon Avenue (P.O.Box 3491 <br />City: Canon City <br />State: colorado Zip Code: R1~12 <br />Area Code: 719 Telephone: ~~s-~sln <br />11. Primary future Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />land use ~ Rangeland(RL) r Forestry(FR) r_ Wildlife Habitat(WL) <br />(check on.a): Residential(RS) - Recreation(RC) Industrial/Comnercial(IC) <br />_ Developed Water 1~esources(WR) _ Solid Waste Disposal(WD) <br />12. Primary present Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />land uses g Rangeland{RL) _ Forestry(FR) _ 4ildlife Habitat(WL) <br />(check one 1: Residential(RS) Recreation(RC) _ Industrial/Comnercial(IC) <br />_ Developed Water T~esources(WR) <br />