PERMFILE58713

• Permit No: m1989065
• IBM Index Class Name: Permit File
• Doc Date: 5/20/1996
• Doc Name: Referral Request
• From: Douglas County
• Media Type: M
• Archive: No

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1 1'
1
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Correspondance Information
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Company Name:
Jim Barrett
Hallett Materials
P. 0. Box 352
Franktown
' Street:
City:
1
State: Colorado Zip Code: 80116
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant /operator above)
Individual's Name: Mike Applegate
Company Name:
1
I
I.
12.
Street: 11990 Grant Street, Suite 410
City: Denver,
State: Colorado Zip Code: 80233
Area Code: 303 Telephone: [phone]
INSPECTION CONTACT (if different from applicant /operator above)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
Primary future
Cropl and (CR)
Pastureland(PL)
General Agriculture(GA)
land use
xRK"eland(RL)
Forestry(FR)
Wildlife Habitat(WL)
(check one):
Residential(RS)
Recreation(RC)
Industrial /Commercial(IC)
Developed Water
Resources(WR)
Solid Waste Disposal(WD)
Primary present
Cropland(CR)
Pastureland(PL)
General Agriculture(GA)
land use
XRK"eland(RL)
Forestry(FR)
Wildlife Habitat(WL)
(check one):
Residential(RS)
Recreation(RC)
Industrial /Commercial(IC)
Developed Water
Resources(WR)
t o the best of and knowledge, all the information
e attached Exhibits A -P are true and correct (
'ate: JA4 Ad to . 98 By:
ed on this application form and
signed by applicant /operator).