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<br />-2- <br />3. Address and Phone Number of <br />Local Offices <br />idashington County Courthouse <br />Akron, CO 80720 <br />Phone 345-65b5 <br />4. Address and Phone Number of <br />General Offices Same as above <br />5. Name and Phone Number of Person Paul Florian - County Commissioner Dis[. ;II <br />Staff Members Should Contact Phone 345-6565 <br />6. Owner(s) of Record of Affected Land oxen c. Nicholson, sr. s <br />(surface area} (If mare than 2, list below) Rosemary Nicholson <br />7. Owner(s) of Substance to be Mined Oren C. Nicholson, Jr. & <br />(If mare than 2, list below) Rosemary Nicholson <br />8. Source of Legal Right-To-Enter <br />(Indicate what type of proof is Lease <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined <br />(Specify underground, open pit, open Pit - travel <br />quarry, etc. & substance(s) to <br />be mined) <br />10. General Location and Elevation Elevation 4,280 <br />(Miles & direction from nearest <br />town & approximate site elevation) 3 miles northwest of Messex <br />11. County Morgan County <br />12. Acreage of Affected Lands <br />(Total surface acreage to be 9.9 Acres <br />included in permit) <br />13. Application Fee (See applicable <br />Rule to determine amount) N/A <br />