2021-07-29_PERMIT FILE - M2021051

• Permit No: M2021051
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/29/2021
• Doc Name: Application
• From: Miami Road Properties, LLC
• To: DRMS
• Email Name: DMC
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

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13. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Title:
"" >�
Company Name: �L2� j
Street/P.O.Box: ,1 Q P.O.Box: 2'J�
City: mn��r runs f% State:�_ Zip Code:
Telephone Number: (9-10, 1- 2A 9 1 Fax Number:(��-,,2 y9 �,3`3 d
Email Address: M o. ® �Pa A�Y s ,(�C i r e if A, �C �a in�
PERMITTING CONTACT (if different from applicant/operator above)
Title:
' 1 -
Contact's Name: �n e.c
Company Name:
Street/P.O. Box: h P.O.Box:
City: �_ State: Zip Code:
Telephone Number: 1 Fax_Number: ( -
Email Address Name:
INSPECTION 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: (��-
Email Address:
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: (��-