2018-10-01_PERMIT FILE - M2018050

• Permit No: M2018050
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/1/2018
• Doc Name: Application
• From: Town of Julesburg
• To: DRMS
• Email Name: JLE
• Email Name: MAC
• Media Type: D
• Archive: No

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15. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Allen Coyne Title: Town Manager
Company Name: Town of Julesburg
Street/P.O.Box: 100 West 2nd Street P.O.Box:
City: Julesburg
State: CO Zip Code: 80737
Telephone Number: 9( 70 )- 474-3344
Fax Number: 9( 70 )_ 474-3345
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Randy Schafer Title:
Company Name:
Street/P.O.Box: 40586 Co. Rd. 21 P.O.Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: 970 )- 520-0502 (cell), 970-854-3778 (work), 970-774-6264 (home)
Fax Number: ( 970 )_ 854-3811
INSPECTION CONTACT
Contact's Name: Allen Coyne Title:
Company Name: Same as above
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number:Fax Number:
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: -
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