2020-01-09_PERMIT FILE - M2019055

• Permit No: M2019055
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/9/2020
• Doc Name: Application
• From: James & Yvette Downing
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANUOPERATOR(name,address,and phone of name to be used on permit):
Contact's Name: and Yvette Downing itle: Mr. and Mrs.
Company Name:
Street: E. S Highway 24#263 O.Box:
City: Woodland Park
State: Colorado Zip Code: 80863
Telephone Number: /� �_ - 306-S609
Fax Number:
PERMITTING CONTACT(if different from applicant/operator above):
Contact's Name: N Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: 1 L Fax Number: -
INSPECTION CONTACT:
Contact's Name: A Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( 1 Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER(if any):
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: _