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7/IS ~ APPLICATION CHECKLIST <br />REGULAR 1 12 APPLICATION NAME ~ F Q~JDKE S~ 6 ~ ~ NL F I LE r~ ~ 3 - 9~ <br />COMPLETE (FILED) DATE <br />ITEM COMPLETE ADEQUATE COMMENTS i <br />Application Form: <br />1. Name of operation ~ <br /> X <br />2. Name of applicant I <br /> k <br />3• Address b phone, local ~ <br /> X <br />4. Address 6 phone, general <br /> X I <br />5. Person to contact I { <br /> <br />6. Parent Corporation, if any <br /> X <br />7. Surface Owners <br /> X <br />I <br />8. Mineral Owners <br /> x I <br />9. Source of Legal Right-to-Enter ~ ` <br /> I <br />X ~ <br />10. Type of Nine/Substance ~ I~ <br /> X ~ i <br />11. General Location G Elevaticn ~ X <br />12. County <br />k <br />I <br />13. Acreage <br />k <br />1L. Fee <br />~` ~ <br />~~ g i D <br />~ l b~ l 7 F'-JOl ok~ ~ 5 <br />15. Present !and USe ~ <br /> x ~ <br />16. Surrounding Land Uses <br /> X <br />17. Proposed Future Use X <br />? <br /> aPen> SPac.e <br />18. Unpermittad Mining Operations <br /> x <br />19• Affected Lands <br /> X i <br />20. Sio <br />nature <br />_ X <br />(over) . <br />