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PERMFILE60494
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PERMFILE60494
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Entry Properties
Last modified
8/24/2016 11:07:22 PM
Creation date
11/20/2007 6:43:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987049
IBM Index Class Name
Permit File
Doc Date
3/20/1987
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />-2- <br />10. Correspondance Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Ndme: Gene Martineau <br />Company Name: Ready Mixed Concrete Company <br />Street: 4395 Washineton Street. P. 0. Box 2290 <br />City: Denver <br />State: (lolorado Zip Code: 8n2~9 <br />Area Code: ~o~ Telephone: ?o2_t~vi <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: nary T„r.r.1P <br />Company Name: Tuttle Aoolezate Rindahl. Inc. <br />Street: 11990 Grant Street. Suite 410 <br />City: nenver <br />State: Colorado Zip Code: 80233 <br />Area Code: ~G~ Telephone: 452_~,F11 <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual`s Name: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary future D Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br />land use ^ Rangeland(RL) ^ Forestry(FR) >® Wildlife Habitat(WL) <br />(check one): ^ Residential(RS)^ Recreation(RC) ^ Industrial/Commercial(IC) <br />^ Developed Water Resources(WR) ^ Solid Waste Disposal(WD) <br />12. Primary present ^ Cropland(CR) >^ Pastureland(PL) ^ General Agriculture(GA) <br />land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />(check one): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC) <br />^ Developed Water Resources(WR) <br />To the best of my knowledge, all the information presented on this application form and <br />the attached Exhibits A-P are true and correct (must be signed by applicant/operator). <br />Date • 3 - ! 8 -~7 By : ~Q,,,Q_ ~ ~Y,,,Qat~. <br />
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