2015-04-28_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/28/2015
• Doc Name: Construction Materials
• From: Lazy H Inc
• To: DRMS
• Email Name: PSH
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
15. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contacts Name: William K. Havengar Title: Owner
Company Name: Lary H Inc
Street/P.O. Box: 34449 County Road 10 P.O. Box:
City: Keenesburg
State: CO Zip Code: 80643
Telephone Number: 30( 3 ) - 434 -6650
Fax Number: 30( 3 1 _ 732 -4568
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: Fax Number:
INSPECTION CONTACT
Title:
P.O. Box:
Zip Code:
Contact's Name: William K. Havengar Title: Owner
Company Name: Lazy H Inc
Street/P.O. Box: 34449 County Road 10 P.O. Box: _
City: Keenesburg
State: CO
Telephone Number: 30l 3 1- 434 -6650
Fax Number: 30f 3 1 _ 732 -4568
Zip Code: 80643
CC: STATE OR FEDERAL LANDOWNER (if any,)
Agency:
Street:
City:
State: Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER (if any ) .
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
-4-