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2002-12-03_PERMIT FILE - M2002118
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2002-12-03_PERMIT FILE - M2002118
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Last modified
5/6/2020 4:55:39 PM
Creation date
11/20/2007 9:29:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2002118
IBM Index Class Name
Permit File
Doc Date
12/3/2002
Doc Name
Permit Application
From
DG Huskin Construction Company
To
DMG
Media Type
D
Archive
No
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- 3 - <br />14. Correanondence Information: <br />APPLICANT/OPERATOR {name, address, and phone of name to be aced on permit) <br />Contact's Name: l~rG/-{qaD ~. /~a~,r/a5 Title: ~RaJ6~T /~4n/~4G~+e <br />Compaq Name: L7 (~ FlvSk/w/ l-O.JSTr~ v e~a/ Go.NP.q-~./Y <br />s>reevr.o. Box: P. o. Box ~ I P.o. sox: <br />cny: ~~T~io2~ <br />State: GOG.o/lA-~ Zip Code: g/.z s3 <br />Telephone Nmnber: 7 ~ - 7f3 `/- D yi .S <br />Fax Number: ( 7 / 9 ) - S~fly ' ,2 rY3 <br />PERMITTING CONTACT {if different from applicant/operatornbove) <br />Coniact'sName: <br />Compa~Name: <br />SlteetlP.O. Box: <br />City: .~oE Gf}Ga/q,.lo <br />L-•J• l7cVEtnPiiJFi~ i/JG <br />~ S7 T Fio4>`/Y GT• <br />Pt~c3Lv Title: CoiJSuL7~4i+~T <br /> <br />P.O. Box: <br />State: ~ o Ge.¢.4flo Zip Code: 8~ o o S <br />Telephone Nmnber, ( 7 ~ 9 ) - ~ `fO - 9 H~ 5° <br />FaxNnmber: r 7i9 )- S~a`t-3o8fi <br />ECTIDN CONTACT <br />Contact's Name: ~r u~ge D ~• Po/I~[AS Title: l~/.C oJ6oT /r//A•/q,(e6Y <br />Company Name: L7. Gs. ~/SK./ Cr~n(Sp2u~77v~/ CoM/°Ry~y <br />streerm.o. Box: - SEE APPu eArtr rNFo ABovSP.o. sox: <br />city: <br /> <br />state: zip Coae: <br />Tetephone Namt+er: ( ) - <br />Fax Number: ( ) - <br />CC: STATE UR FEDERAL LANDC>WNER (if anv) <br />Agency; <br />S1reCf: <br />Cin: <br />Scste: Zip Code: <br />Telephone Number: ( ) - <br />CC: STATE OR FEDERd.L LAAIDOWNER (if anv) <br />Agency: <br />Sneer: <br />City: <br />Slate: <br />Zip Code: <br />Telepfiane Number: L ) - <br />
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