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tbUtt Coupty <br />Banning Department <br />eo eMM74s <br />9eamboat q)*" W WM <br />ftx 9-1m <br />Petition: 9.9 acre Sand & Gravel Mine <br />MINERAL DEVELOPMENT <br />APPLICATION FORM <br />ACTIVITY # <br />PARCEL # <br />Petifioner's Name: Breeze Basin Resources, Inc. <br />Signature of Petitioner: Rick Domson <br />Landowner Signature (f not same as Petffiww). Kurt Frentress <br />Petitioner's Mailing Address: P . O . Box 181, Hayden, CO 81639 <br />Telephone: ( 970) 276-3602 FAX: (970) 276-9101 <br />Petitioner's Email Address: vonnie@mvbrokers.com <br />Representative's Email Address: rrdomson@rmaii. coat <br />Representative's Mailing Address: 3413- Hwy, 394. Craig. c-o R i 6 2 9 <br />Telephone- ( 970) 326-8689 FAX: (970) 824-2840 <br />Type of Operation: 9.9 acre Sand & Gravel Mine <br />General Location: 3 miles west of Hayden off of CR65 <br />Legal Description: A parcel of land located in the northwest uuarter <br />of the northeast quarter and the northeast quarter of the <br />northwest quarter in.Section 13, Township 6 North, Range 89 <br />West of the 6th P.M., Routt County, Colorado <br />Staff ContaCUCase manager. Rebecca D. Bessey <br />