2017-03-14_REVISION - M2017009

• Permit No: M2017009
• IBM Index Class Name: REVISION
• Doc Date: 3/14/2017
• Doc Name: Application
• From: Platte Valley Real Estate
• To: DRMS
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Dan E. Long Title: Manager/Member
Company Name: Platte Valley Real Estate, LLC
Street/P.O.Box: 116 Spruce Road P.O.Box:
City: Sterling
State: CO Zip Code: 80751
Telephone Number: (970 )_ 520-7800
Fax Number: (970 )_ 522-7382
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Randy Schaefer Title:
Company Name:
Street/P.O.Box: 40586 Co. Rd. 21 P.O.Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: (970 )_ 774-6264(Home), 970-854-3778 (Work), 970-520-0502 (Cell)
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Mason Chamberlain Title: President
Company Name: Chamberlain Concrete
Street/P.O.Box: P.O.Box:
City: Wray
State: Co Zip Code:
Telephone Number: (970 )_ 332-4355
Fax Number: (970 )_ 332-4081
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: ( )-