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PERMFILE46718
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PERMFILE46718
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Entry Properties
Last modified
8/24/2016 10:48:50 PM
Creation date
11/20/2007 12:54:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004067
IBM Index Class Name
Permit File
Doc Date
11/21/2005
Doc Name
Exhibits 82
From
City of Black Hawk
To
DMG
Media Type
D
Archive
No
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}- <br />14 Comsoondence Information: <br />9pPLICANT/OPERATOR (name, address, and phone of Dame to be used on perms[) <br />Contact's Name: Robert A. Lembke Title: M,~naoer <br /> <br />Company Name (:Iwar Crwwk nicTrir•r Watwr Providers LLC <br /> <br />St[ecUP.O. Box: +46 South Que ec St Suite 110 P 0. Box <br /> <br />city: srw=^~uood Village <br /> <br />Stair ('nlnrado Zlp Code 80111 <br /> <br />Telepbone Number L 303 ) • T?Y-r n05 <br /> <br />Fax Number 1 303 ) • 773-1176 <br /> <br />p~ItMITTfNG CONTACT (if ddfercnt from apphcant/opemtor above) <br />Cont <br />Ys Neme Patti QwcRO Trtle prIrlClDal <br />ar <br />Company Name: ~a(]ks and 4'wcso LLC <br /> <br />StreeVP O <br />Box: 720 KiOling St Suite 117 P o Box: <br />. <br />City 1 -,L...unn.1 <br />. <br />State: CDIDradO Zip Code, R0915 <br />hone Number <br />Tele ( 30'I ) - 274-4277 <br />p <br />• <br />F <br />N <br />b c 303 )- O°~Q <br />um <br />ax <br />cr <br />INSPFCTION CONT~i <br /> Lembke <br />Robert A wr <br />Title. Manao <br />ContacCs Name . _. <br />~ <br />Name• <br />C - - - r ° ''r ~ t r <br />ompany <br />SlreeUP 0 Box cean en. a n ohwr• ct Suitw 110 P.O. Box <br /> <br />C,ty Greenwood Village <br />, <br />Stale ('nl radn Zip Cady 801 t1 <br /> <br />b <br />N 303 1- 773100+ -- <br />er, <br />um <br />Telephone L <br />Fax Number 303 ) - 773 1176 <br />( - - - <br /> _ <br />~, STATE OR FEDERA L LsNDOWNER lifanv) <br />Agency "'rA <br />Street <br />Ctty. <br />State, <br />Telephone Number. (_ 1-_ <br />rr cTATF OR FE ERAI,-4ANDOWNER hf soul <br />Agency: <br />Street <br />Ctty. <br />Stale <br />Teltphone Number <br />Zip Cody <br />Zip Code <br />
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