Laserfiche WebLink
-3- <br />11. Correspondence Information: <br />APPLICANT /OPERATOR <br />(name, address, and phone of name to be used on permit) <br />ME <br />Contact's Name: <br />TomSchlosser <br />Title: President <br />Company Name: <br />Schlosser, Inc. <br />Street/P.O. Box: <br />755 U.S. Highway 385 <br />P.O. Box: <br />City: <br />Burlington <br />State: <br />Colorado <br />Zip Code: 80807 <br />Telephone Number: <br />( 719 ) _ 346 -8806 <br />Fax Number: <br />( 719 ) _ 346 -8088 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />Title: <br />Company Name: <br />Street/P.O. Box: <br />P.O. Box: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) <br />Fax Number: <br />( ) - <br />INSPECTION CONTACT <br />V Me <br />Contact's Name: <br />Tom Schlosser <br />Title: President <br />Company Name: <br />Schlosser, Inc. <br />Street/P.O. Box: <br />755 U.S. Highway 385 <br />P.O. Box: <br />City: <br />Burlington <br />State: <br />Colorado <br />Zip Code: 80807 <br />Telephone Number: <br />( 719 ) _ 346 -8806 <br />Fax Number: <br />( 719 ) _ 346 -8088 <br />CC: STATE OR FEDERAL LANDOWNER (if any <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />