PERMFILE59763

• Permit No: M2000088
• IBM Index Class Name: Permit File
• Doc Date: 7/25/2000
• Doc Name: ROBERT REGESTER STATE LEASE QR 3375 LOCATED IN SECTION 7 12S 76W PARK CNTY
• From: BOARD OF LAND COMMISSIONERS
• To: DMG
• Media Type: D
• Archive: No

• ~
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l4. Corresnondenee Information:
p ~ PLICANT/OPERATOR (name, address. and phone of name to be used on permit) ``
Contact's Name: r~ C- • ? ~ Title:~rPS ~ c~2v~T
Company Name: `' r _
Street: -'J e.
State: ~ c. `~ ,r cl n Zip Code: 9,C~g 1 Ln
Telephone Number: (-l \ q 1- ~ `I
Far Number: (~ \ ~ 1- ~~~ R - a aa-~-~,ue~..~
PERMITTING CONTACT (if different from applicant/operator above)
G~ Contact's Name: Title:
Compmp Name:
Street
City:
State: Zip Code:
Telephooe Number.
Far Number:
r INSPECTION CONTACT
_. C Contact's Name:
Company Nsme:
Street
Ciry
State: Zip Code:
Telephone Number { 1-
Fax Number: { )-
CC: STATF OR FEDERAT LANDOWNER of anvl / 5 \ `
Agency: C ~~nr-c~c~c, ~aif L.-Ce~~~00.~t~ -
Street: 1~1'~ S~neC'nc~~x, S-~-rPe~ ~d,oo+r 3.t~
city: ~ p ~~~ rII
State: ~ `n f't~0._L~ Zip Code: _ ~ O a.0 ?~
Telephone Number: t 'JO-', 1- `~~nL - 7i5Ln~
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-