Laserfiche WebLink
Your State <br /> CO <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 80905 <br /> Email Address* <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> richIins998@gmail.com <br /> Your Phone Number* <br /> Used only to follow up. <br /> 7194296680 <br /> Extension <br /> Alternate Phone Number <br /> Used only to follow up. <br /> Alternate Phone Extension <br /> Connection to Operation <br /> Select all that apply <br /> Land Owner of affected land Structure Owner within 200' of affected land <br /> Mineral Owner Nearby Resident <br /> Adjacent Land Owner Concerned Citizen <br /> Government Agency Other <br /> DESCRIPTION OF COMMENT OR OBJECTION <br /> (Please be as specific as possible` <br />