2017-07-25_REVISION - M2001108

• Permit No: M2001108
• IBM Index Class Name: REVISION
• Doc Date: 7/25/2017
• Doc Name: Application
• From: DRMS
• To: Alamosa County
• Type & Sequence: CN1
• Email Name: DMC
• Email Name: GRM
• 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: Tim Dehemera Title: Road and Bridge Director
Company Name: Alamosa County
Street/P.O.Box: 8663 South County Rd 109 P.O.Box: 178
City: Alamosa
State: Colorado Zip Code: 81101
Telephone Number: (719 _ 589-6262
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Rachel Baird Title: Land Use Administrator
Company Name: Alamosa County
Street/P.O.Box: 8999 Independence Way Suite 100 P.O.Box:
City: Alamosa
State: CO Zip Code: 81101
Telephone Number: (719 _ 589-3812
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Tim Deherrera Title: Road and Bridge Director
Company Name: 8663 South County Rd 109
Street/P.O.Box: P.O.Box: 178
City: Alamosa
State: Colorado Zip Code: 81101
Telephone Number: (719 _ 589-6262
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: State of Colorado, State Board of Land Commissioners
Street: 1313 Sherman Street RM 620
City: Denver
State: Colorado Zip Code: 80203
Telephone Number: (303 _ 866-3454
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )