PERMFILE51932

• Permit No: M2004052
• IBM Index Class Name: Permit File
• Doc Date: 7/16/2004
• Doc Name: 110c New Appl
• From: Phillips County
• To: DMG
• Media Type: D
• Archive: No

-3-
• 14. Correspondence Information:
APPLICANT/OPERATOR (name, address, end phone of name to be used on permit)
Title: Administrator/Planner
Contact's Name: Randy Schafer
Compa~Name: Philli s Count
Street/P.O.Box: 221 S. Interocean Ave. P.O.Box:
Clty: xol OK.e -
State CO Zip Code: 80734
Telephone Number: ( 970 )- 854-3778
Fax Number: ( 970 1- 854-3811
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: ~ me as aL e
Company Name:
P.O. Box
Street/P.O. Box:
City:
Zip Code:
State:
Telephone Number: ( ~'
Fax Number: ( ~'
INSPECTION CONTACT
Contact's Name: Same as above Title:_
Compatry Name:
P.O. Box:
Street/P.O. Box:
City:
Zip Code:
State:
Telephone Number: ( ~ -
FaxNumber: ( ~'
CC STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ~ -
CC STATE ORFEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
Zip Code:
State:
Telephone Number: ( ~ -