Laserfiche WebLink
-3- <br />11. Corresnondenoe Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: rm cww <br />Company Name: <br />Street/P.O. Box: 42538 Co. Rd. 9 <br />City: Haxtun <br />State: CO <br />Title: Owner/Operator <br />P.O. Box: <br />Zip Code: 80731 <br />Telephone Number. <br />( 970 ) _ 774-7126 <br />Fax Number: <br />( ) - <br />PPUMM G CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />Randy Schafer <br />Title: <br />Company Name: <br />Street/P.O. Box: <br />40586 Co. Rd. 21 <br />P.O. Box: <br />City: <br />Haxtun <br />State: <br />CO <br />Zip Code: 80731 <br />Telephone Number.- <br />( 970 ) _ 7746264 (Home), 970-5204)502 (Cell), 9704543778 (Work) <br />Fax Number: <br />( 970 ) _ 854-3811 <br />1 <br />INSPECTION CONTACT <br />R <br />7+�. <br />Contact's Name: <br />Tim Carper <br />Title. <br />Company Name: <br />Street/P.O. Box: <br />(same as above) <br />P.O. Box <br />City: <br />State: <br />Zip Code- <br />Telephone Number. <br />f ) <br />Fax Number: <br />( ) - <br />CC: STATE OR FEDERAL <br />LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number. ( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />Zip Code: <br />Zip Code: <br />