Laserfiche WebLink
.h ~~ ) <br />A\\I AI. F'F'F: and I(FPON'1' RF:O1 1•a f <br />I'I•:Kiv91'I'I'IiF. NAMh: I.:,rintcr ('aunty RECEIVE <br />I'IiRMIT NO.: ~t-1985-135 <br />OI'I:KA'I'ION NAMP.: IIorU1n Grovel 1'it DEC 2 7 ZOU5 <br />ANNIVIiKS:`+KY DA'I'I,: .Ianuan• 31.2000 <br /> ~~ <br />ANNUAL PLIi Dltli: 5688.00 (Doc on or before tour unnivcrsan dote) <br />('Ol tNTI': Larimcr <br />According to C'.K.S. 3432.5-I IG or ('.R.S. 34-32-1IG, wch year, on the anniversary date of ttu pen„it, an <br />,gn•ratur shall .about the ;uuural (ec, n rrpr,n and map shuwmg the extent c,(.•um•nt di.unh:uur•~ to uftec0.•d <br />land. nxlnmanon accomphshcd to date and dunng the prcccdmg year, new drsturhances that arc anticipated to <br />occur during the upcoming year, rcelarnatton that will he Ix•rConncd dunng thr coming year, the dates for the <br />hcgmning of acfivr opcrauons. and the date active o)xrations ceased tix the year, if any. <br />1'Icase altach~~nur rrvisret wriltru annuat report and annual relrnrt map to this loon. /'A•usr• nurc tlurt tin <br />ulryualrlt IuhrlrJ nwr dur( rlrrult drlinr,tlra wul inrludr.~ dr,• u6urr rl~•urr•rrts nrrn wJ/ir•r,Jrrr rt rrri(trn <br />r rlnrrr <br />I>ntsum records mdicutc the tidlowtng petmnt~•e contact intixmation. 1'Icasc vwily and make any necessary <br />ch:mgcs: <br />Pctmiltcc ContacC Lknnis ('. Mamson <br />pcm,ittcc Namr. I.arimcr County <br />Addreati: P.O. liox 1190 <br />14,r1 ('nllins, ('U xO522 <br />Phunc Kund,cn 197111 -lO~-~Oi;'. <br />hax Vumbcc 19'0) •14h-5h?K <br />If you hove ^ddnional comments unddx tnfornmuon Ihnt should be pnnddcd to the Division, please pruvtdc tt <br />hclo,v or attach it to thts litmt along with your wnttcn rcix.rt and map. ,lnnual Kepurt instntctions arc <br />enclosed. <br />__`~~~V \ <br />Signature of Corporate Ofliccr, (hvncr. or Designee <br />L- ~,?-~ ~-.o o s <br />I)mc <br />• .u•~~ r•.~....~,:,,. ~ ,., . ,. <br />