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2021-03-16_REVISION - M1977300 (13)
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2021-03-16_REVISION - M1977300 (13)
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Entry Properties
Last modified
1/10/2025 2:50:54 AM
Creation date
3/17/2021 7:38:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
Revision
Doc Date
3/16/2021
Doc Name Note
Pt. 2 of 2
Doc Name
Record of Construction
From
Colorado Legacy Land, LLC
To
DRMS
Type & Sequence
TR28
Email Name
AME
Media Type
D
Archive
No
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� 1 <br /> � �� DISPATCH 970.587.9305 1503.637.0900 <br /> CORP OFFICE 970.356.7523 <br /> 301 CENTENNIAL DR. 111111 <br /> 1111111111 <br /> MILT IKEN,CO 80543 HE I Ili <br /> i <br /> ,0%,"MI R t"UsTC*XR(XSPE PI ANT OAtt T1MF_..._..._�_�.... TR."K@ T <br /> LLISTOAKR PNONE R ARPIVT)CIA 6FWH PLXR i.EAVE PLANT <br /> 6 <br /> 0 00=NUMK#t fWO K„Iy NUMM.R PE?.NUAMER PREVIOUS MR ux"APED F"SH POUII LEAVE Joe ARRIVE PLANT <br /> I <br /> I� <br /> i <br /> •, DFLIVERY ADDRESS INSTRUCTIONS (PLEASE VERRY ADDRESS;' SUBTOTAL. <br /> CITY TAX <br /> STATE TAX <br /> i WATER ADDED AT ! CUSTOMER/DRIVER COMMENTS. TOTAL <br /> CUSTOMER'S REQUEST _ _—_— _ GRAND <br /> TOTAL <br /> i <br /> TRUCK EWVER MAP PAGE Freshly mixed Coo('.fetr may Cau Ye k)....... h1mcinesS and%tVere skit <br /> skin. Wash exposed skcin areas P""oprly with wider. For eye expo.,. . <br /> i PREVIOUS TRUCK TEST RES777--p <br /> AIR TEMP i. eatedl With wvl Jf'rL ( -1 1✓'rXai iil foientw + t' <br /> r r' Y I,.,.i,t� s.JCEEP OUT C7f <tE k �`. CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> 0 1 10324716HOVTAREA III Jill I II I I I I I <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. CUSTOMER'S REPRESENTATIVE <br /> i <br /> 0 <br /> a tal laer�pptiL <br /> ib <br /> 2 GEM2 •s#.�@ er .#. <br /> WA1ER WRIER 12% Ib <br /> FKW, ir, 0 I b -0 <br /> Low <br /> 1 <br /> { <br />
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