2017-10-18_REVISION - M1978051

• Permit No: M1978051
• IBM Index Class Name: Revision
• Doc Date: 10/18/2017
• Doc Name Note: Notices
• Doc Name: Notice of Application Consideration
• From: DRMS
• To: various
• Type & Sequence: CN1
• Email Name: TC1
• Media Type: D
• Archive: No

-3-
11. CormMondoce Information:
APPLICANTIOPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Trey James ale: Land Use Administrator
Company Name: Lincoln County
Street/P.O. Box: 103 3rd Avenue P.O. Boz: 39
City: Hugo
State: Colorado Zip fie: 80821
Telephone Number. r 719 _ 1- 743-2337
Fax Number j719 1- 743-2815
PERMrMr3 CONTACT (if different from applicant/operator above)
Contact's Name: Tom•
Company Name:
Savet/P.O. Box:
City:
State:
Telephone Number.
Fax Number.
INSPECTION CONTACT
Contact's Name:
Company Name:
StmetlP.O. Box:
City:
State:
Telephone Number.
Fax Number.
A.O. Ba)r
Zip Code—
Troy
ode
Tray James Title: Land Use Administrator
Lincoln County
103 3rd Avenue P.O. Bax: 39
Hugo
Colorado Zip Code: 80821
(_!1 9 1- 743-2337
( 719 1- 743-2815
CC: STATE OR FEDERAL LANDOWNER (if my)
Agency:
Street:
City:
State:
Telephone Number. L_ 1 -
CC: STATE OR FEDERAL LANDOWNER (if wwl
Agency:
Street:
City:
State:
Telephone Number. ( 1-
Zip Code:
Zip Code: