2020-08-20_REVISION - M2009053

• Permit No: M2009053
• IBM Index Class Name: Revision
• Doc Date: 8/20/2020
• Doc Name: Amendment to an Application
• From: Robins Construction LLLP
• To: DRMS
• Type & Sequence: CN1
• Email Name: LJW
• 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: Randal L. Robins Title: Partner
Company Name: Robins Construction, LLLP
Street/P.O. Box: 38767 State Highway 17 P.O.Box:
City: Antonito
State: Colorado Zip Code: 81120
Telephone Number: (719 _ 376-2351
Fax Number: (719 )_ 376-2231
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Title:
Company Name:
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: ( )-