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�•. 1861 �► DEMOLITION PERMIT APPLICATION -2 <br /> DEPARTMENT OF PLANNING SERVICES <br /> BUILDING INSPECTION DIVISION <br /> 1555 N 17T"AVENUE, GREELEY, CO 80631 <br /> p ti_ (970) 353-6100 X3540 <br /> OWNER NAME City of Westminster PHONE (303)658-2400 , Ext. 2180 <br /> MAILING ADDRESS Public Works& Utilities, 4800 W. 92nd Avenue Westminster CO 80031 (Attn: Josh Nims) <br /> ADDRESS CITY STATE ZIP <br /> JOB SITE ADDRESS 1206 Weld County Rd. 23 3/4, Brighton, CO 80601 <br /> LEGAL DESCRIPTION See Exhibit A SECTION 25 TOWNSHIP 1 N RANGE 67 W <br /> PARCEL NUMBER 146925000018 <br /> (CAN OBTAIN FROM ASSESSOR'S OFFICE(970) 353-3845 X3650 OR WWW.CO.WELD.CO.US) <br /> APPLICANT NAME MAILING ADDRESS. CITY. STATE, ZIP PHONE <br /> Connie Davis <br /> Aggregate Industries-WCR, Inc. P O Box 337231, Greeley, CO 80633 970-396-5252 <br /> GENERAL CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP RHPN E <br /> Aggregate Industries-WCR, Inc. Same 303-250-4016 <br /> TYPE OF PROJECT: <br /> eRESIOENTIAL ( (7 NOTE: Colorado Department of Public Health& <br /> _ MANUFACTURED/MOBILE HOME Environment Asbestos Certification letter is <br /> )(UTILITY STRUCTURE required. <br /> COMMERCIAL <br /> COST OF JOB S SOO �� FEE$ <br /> INCLUDE A DESCRIPTION OF THE WORK BEING DONE Total demolition of house. The property is beinq mined by <br /> Aggregate Industries for sand &gravel under USR-1350. Wattenberg Lakes, and reclaimed to water storage by <br /> Aggregate Industries for City of Westminster. The house is located in the cell that is currently being mined and is beina <br /> demolished as mining progresses. <br /> I HEREBY CERTIFY THE ABOVE AND ANY ATTACHED INFORMATION IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE: <br /> ZA2r�. g2j��.k atyiw� o?/�/i <br /> SIGNATURE OF APPLICANT L!/C.�'� �/ ,�, DATE <br /> APPLICANT EMAIL ADDRESS connie.davis(c�apgregate-us.com <br /> OFFICE USE ONLY Il zC) <br /> �DATE RECEIVED INITIALS 1 PERMIT NUMBER I�� l� 1 `tic — <br /> PAYOR CASH/CHECK/CREDIT CARD# AMOUNT <br />