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<br />SEP 22 '97 14:25 <br /> <br />FROM WELD CO SHERIFF OFC <br /> <br />PAGE.002 <br /> <br />Colorado <br />State Hazard Mitigation Grant Program <br /> <br />,,.... <br />, <br />',--./ <br /> <br />.' <br /> <br />Notice of Interest (NOIl <br /> <br />Disaster Number : DR-lla6 <br /> <br />PLEASE RF.TITRN NO LATER THAN Secternher 22.1997 <br />Project Title (if known): Wit tff!:>JJ Jp';! /91"1! <t- <br />Date: tJ9-.<:L -97 <br /> <br />Applicant Informa~on <br />A. Name of Applicant/JuriscU.ctl.on: tl-./eld! e....H'>" <br /> <br />B. Type : [GOVERN1!ENX, P/uVA:rB !(OIl-PRO.fI1!, sec.] <br /> <br />C. PoiJlt of Cont:act(ApplicaJlt or Ag"nt)for t:lut proposed measure or pr..jeet: <br /> <br />1. <br /> <br />Name: e..P ,,/7 P;FrNti- <br />Title: p,.,. ee. ,L-." "'",. CJ .$./"'1 <br />Addr..c: 9/t!? #.... 1"4' .4u~....,e/ r;."'~e~y' Ld g~'((3"/.J'8'?$ <br />Busineu Phone: (A/cf!?! )..J5'-YcIJ"x Y<!.0Vl'X: (Ale) (j?eJ)~';>- Yf.f/ . <br /> <br />, 2. <br /> <br />3. <br /> <br />~. <br /> <br />D.Locat..lon,anc1 Descript.ion of 'Project.: ~~H r'~ R~ ev~;L- ~ <br />V~:U~Y'1. ~ M 'J4,tVlf ~ tv"At"::.I~ <br />A:. . . <br />E.,Estirnate. of Cost: "I~ "dO <br /> <br />- <br /> <br /> <br />H.WheJl cou~,pr;;ect be cOl\lpletec1? <br />, ~'Y"--"" ,,-,- -.-;. /1'? 8'. <br /> <br />RETtIRN TO: Fred SiI:llsy, state Ha2.arc1 Mitigation Officer <br />CO Office of EmergeJlcy Management 15015 South Colden Road <br />Colden;CO 80401-3919 0: 303-273-1775, VAX:303- 273-1795 <br />