Laserfiche WebLink
~ 1 III III III III IIII III <br />L ,./ CHECKLIST - 1/12 APPLICATIONS <br />NAP1E I~~Q~LS-4'~wf ~~j1~~lt _ '~ 1, ..r,~~ <br />ADEQUACY <br /> <br />FILE N0. ~~ " 3-l <br />COPIPLETE <br /> I Simple Stuff <br /> 1. Name of Operation 1• ( y~ <br /> 2. Name of Applicant 2• ( '3~' <br /> 3. Address and one - local 1~'.. <br />i 3. ( GY <br /> 4. ~.~ ., <br />Address and one - general 4. ('~ <br /> ~ <br /> 5. Person to contact 5. (~~ <br /> 6. Parent Corporation 6• ( ~~ <br /> 7. County 7 • ( .)~ <br /> 8. General location b elevation (cE. exl~. B) 8. (..)~ <br /> 9. Type of mine & substance 9. (~Y <br />(~ 10. Other mining permits L0. (~~ <br />(~ 11. ProV~ibited lands 11. (~ <br />/ <br />( J/ 12. Copies of application 12. (~~ <br />(~ 13. Signature 13. ( ..)/ <br />(-~ 14. Other permits or licenses (exli. N) 14. ( K <br />II Civil Review <br />('') 15. Legal description (exh. A, et al.) 15. (-)- <br /> <br />( ) <br />16. ~ ~ .' f <br />Acreage- t,(u~~+ :•./~.lfi')'/ ;~<<<n <br />16. <br />(~}~ <br />( ) 17. Legal Right to enter (exh. 0)_ rt <br />ly ~~:~cti•/ 17. ('~ <br /> J <br />(~~ 18. Local government approval 18. (.}-' <br />( '7 19. Fee 19. ( y <br />III Legal Review <br />(~ 20. Surface owner) 20. (~~ <br />( ~ ) (exh. P) <br />21. htineral owner) 21. (-~- <br />Iv traps <br />22. Index Flap (exh. B) 22. (y- <br />,, <br />a. Qggional location <br />b. Roads & other access <br />~~ / <br />