2010-08-30_REVISION - M1986079 ‎(4)‎

• Permit No: M1986079
• IBM Index Class Name: REVISION
• Doc Date: 8/30/2010
• Doc Name: Acreage Release AR05
• From: Bird David
• To: Dupler Jim
• Type & Sequence: AR5
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: STEVE 12)12rAn11J Title: LAND PLANNER.
Company Name: L FM & . W T INC
Street/P.O. Box: 4 (Di n cHugatRANDi44kt1 sum MO P.O. Box:
City: WESTMI NSS1 Z
State: CO Zip Code: 8Cb6 Zi
Telephone Number: (3(V7 - (057 - 405514
Fax Number: ( 30 3 ) - C25 7- 40 7
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( 1 -
Fax Number: ( 1 -
INSPECTION CONTACT
Contact's Name: S'1EV1= "QIOW?'j Title: LAND FIANN ER_
Company Name: LAFRP W E V, i 1S C .
Street/P.O. Box: 1 Q} I ` G1 ORCk{ RA 11 why, SU FE. 2a1/ P.O. Box:
City: W//E4, MsTE
State: l.l.J Zip Code: 2.I
Telephone Number: ( ' ) - (957 — teS4
Fax Number: (Sa)�J ) - (o5 7 -14(1)37-
U
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
( )-
Zip Code: _
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: ( � -
Zip Code: