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-- ~- ~ IIIIIIIIIIIIIIIIIII r ~~~,,___,~-_o <br />' MnY ~ .g, <br />Department o; ?:~_•..ra.:.~sc~rtes00L0. UIVI5IUIV OF i IVES <br />~oom 215, 1345 Shernan St. Teleohone: 892-3401 <br />Denver, Colorado 80203 <br />?nnlication fcr °er..it to ~~erate ~nen 'lining <br />1. :pane of o erator -~ - -- ~ - - i;,-arc ~~ ~ - «,~ <br />p -"5 - -acra'Ic~, <br />:, ~: <br />~c--~-ce -;, - -aoc, ' -~, - cc~:.ard, Fr~c -u~, ;''cc <br />(If operator is a partners',ip, please list na-e and address of <br />each partner and state „•~.er:-,er ...e part.._rs'r._^ is a limited or <br />general partnersh.p. I. aparatcc .~ ~ ccrpora_ion, dice tF:e ' <br />eeact na_~e o: eb.e cor~craco^ a; __ is c- `ila .._t:~ _`:e Secretarv_ <br />of State, t^e add_ess cf t-e corro-at_o-, to oc;:cers of t::e i <br />corporation, t`e agent for se--::_e o_ process in t`~e State of <br />Colorado aad the state o: in corpora=ion.) <br />2. Addresses of general office and local office: <br />General office ~,c__ ::z.• _ - - -- - ~c'c. °OC22 <br />Local office ~ - - -- - - - - _~ - - ~-~^ <br />Person in charge :a-=" -- - Phone`~~ cF~~ <br />• 3. Legal description of the area c` land to Je a:fecte~ ~_: t'ne proposed operation: <br />~c~ -ct -- - - - <br />4. a. \umber of acres to be affected -~-=- -• - -_ :_, "ar_c' G - c r... <br />b. Date for wF:ich perr:it annroval is souz::t '- _ _' ' _ <br />5. Names and addresses of o~-ner or ocr.ers of t^e surface of the area of land to <br />be affected by t''°e operation: <br />6. °ames and addresses of the c-~er or o;.-ers of t:~.e :-'_r,eral rights: <br />r ~ _ .. Y-_ - - - - e- -~_ `sl <br />7. Substance to be tined -co_ - - -- - -- ~--' :a-_- <br />8. Source of [he app~icant's la ;al r-:a'ct to enter and open -ine on the land <br />affected b~ [:-^_ pe-:.-?=: _ <br />(?lease a=tat'-. cop:: of dot-e^._ ,-,--.: app:icact s:^n le ;al ri;itt` <br />