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<br />-2- <br />10. Correspondance Information <br />APPLIC,4NT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: _KIOWA COUNTY. COLORADO <br />Street: p. 0. ROX 591 <br />C I ty : _EA nS <br />State: ~D Zip Code: n,nzb <br />Area Code: 719 Telephone: 438-s8tD <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: <br />Company Name: SAMR <br />Street: <br />C'f ty: <br />S~}ate: Zip Code: <br />Area Code: Telephone: <br />INSPECTION CONTACT (if different from applicant/operator above) <br />IndlVldllal's Name: DUTCH EICKENBERG <br />Company Name: KIOWA COUNTY <br />S1;reet: 2ND AND SHARP <br />City: HASWELL <br />S1:dte: COLORADO Zip Code: 81045 <br />Area Code: 719 Telephone: 436-2351 <br />11. Primary future Cropland(CR) x Pastureland(PL) General Agriculture(GA) <br />land use ~ Rangeland(RL) ~ Forestry(FR) _r Wildlife Habitat(WL) <br />(check one): Residential(RS) ~ Recreation(RC) Industrial /Comnercial(IC) <br />_ Developed Water f~esources(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 one): Residential(RS) - Recreation(RC) Industrial/Comnercial(IC) <br />Developed Water ~sources(WR) <br />