PERMFILE57762

• Permit No: M2001060
• IBM Index Class Name: Permit File
• Doc Date: 6/26/2001
• Doc Name: PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

14.
Correstandence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Steve Baker Title: Owner
Company Name: 3B Enterprises
Stree[: 2100 E. 9th St.
City: Crais
State: SO Zip Code: 81625
Telephone Number. ( 970 l- 824-5776 (homel 970-926-735fi (~~~)
Fax Number: 9{ 70 1- 824-3872
PERMITTING CONTACT (ifdifferent from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State:
Telephone Ntunber: ~~ -
Fax Number: ~~ -
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
Zip Code:
Zip Code:
C: STATE OR FEDERAL LANDOWNER (if an
Agency: N/A
Street:
Ciry:
State:
Telephone Number
Zip Code:
CC: STATE pR FEDERAL LANDOWNER (if an
Agency: N / A
Street:
Ciry:
State:
Telephone Number
- 3 -
Title:
Applicant/Operator Title:
Zip Code: