Laserfiche WebLink
-3- <br />14. Correspondence [ntormatton: <br />APPLICANTlOPERATOR (name, address, and/phone of name to be used on permit) <br />Contact's Name: ~ ~If~NLeS L. r~/"Yin Tide: f~/b~iri/» /7G'i1~Pr' <br />Company Name: <br />StreedP.0. Box: <br />City: <br />State: CO Z,ip Code: ly/Sa/ <br />Telephone Number: ~ 97o t - ~i ~/5/-l~ S/3 <br />Fax Number: (q70 )- ZS('-' 4~0/S~ <br />PERMITTING CONTACT (if different from applicanUoperator above) <br />Contact's Name: <br />Company Name: <br />StreeUP.0. Box: <br />City: <br />State: <br />Telephone Number: ~~ - <br />F'ax Number: ~j - <br />INSPECTION CONTACT <br />Contact's Name: /~i/7[oS ~ ~~.tS'i1.~3' / Title: ~9iGrn ~<?~ZrjPr <br />Company Name:/ O'1C/ri~~~!/lG7/M <br />StreeUP.0. Sox: /-' 25~ ~i/ '~ /~n Cf P.O. Box: <br />City: `//o~'.tr 4rl~7tAi7 <br />State: ~O Zip Code: cP/S~/ <br />Telephone Number: (9 7D j - Zy~ /~-? <br />Paz Number: y( 7Q ~ - Zs6-~ S/D/SZ <br />Agency: <br />Street. <br />City: <br />State: <br />Telephone Number: <br />Title: <br />P.O. Box: <br />'Lip Code: <br />Zip Codc: <br />C,C: STATE OR FEDERAL, LANDOWNER Iif an <br />Agency: //t7/1~ <br />Street: <br />City: _ <br />Sla[e: <br />Telephone Number <br />Z,ip Code: <br />