2002-06-18_PERMIT FILE - M2002062

• Permit No: M2002062
• IBM Index Class Name: Permit File
• Doc Date: 6/18/2002
• Doc Name: Permit Application
• From: Prowers County
• To: DMG
• Media Type: D
• Archive: No

-3-
' 13. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name:
Street:
City:
State:
JIM SIDEBOTTOM
Telephone Number: (~ 19 ~
Fax Number: ( 1-
336-8025
PROWERS COUNTY
301 S MAIN STREET, SUITE 215
LAMAR
CO Zip Code; 81052
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: MARK DORENKAMP
Company Name: PROWERS COUNTY
Street: 301 S. MAIN STREET, SUITE 215
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street:
CO Zip Code: 81052
7( 19 1_ 336-5536
!-~ -
MARK DORENKAMP Title: ROAD/BRIDGE SUPERVISOR
PROWERS COUNTY
301 S MAIN STREET, SUITE 215
City: LAMAR
State: CO
Telephone Number: 7( 19 ) .
Fax Number: ~~ -
336-5536
COUNTY ADMINISTRATOR
Title: ROAD/BRIDGE SUPERVISOR
Zip Code:
81052
CC: STATE OR FEDERAL LANDOWNERlif an
Agency:
Strut:
City:
State:
Telephone Number: ~~ -
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
City:
State:
Zip Code:
Telephone Nttmber: { ) -