PERMFILE59677

• Permit No: M1995019
• IBM Index Class Name: Permit File
• Doc Date: 3/14/1995
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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' 9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
' Individual's Ndme: BACA COUNTY BOARD OF COUNTY COMMISSIONERS
Company Ndme: BACA COUNTY. COLORADO
Street: 741 MAIN STREET. P. 0. BOX 116
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ty: SPRIN
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State: COLORADO Zip Code: 81073
Area Code: 1 7191 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
' Individual's Name:
Company Name:
' Street:
City:

' State: Zip Code:
Area Code: Telephone:
' INSPECTION CONTACT
Individual's Ndme: RAY MILLER, COMMISSIONER
COmpdny Ndme: BACA COUNTY COMMISSIONERS
Street: 741 MAIN STREET, P. 0. BOX 116
City: SPRINGFIELD,
' State: COLORADO Zip Code: 81073
Area Code: (719) Telephone: [phone]
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