PERMFILE68562

• Permit No: M1998032
• IBM Index Class Name: Permit File
• Doc Date: 4/6/1998
• Doc Name: FAX COVER RECEIPT
• From: DMG
• To: CNTY OF SEDGWICK
• Media Type: D
• Archive: No

(APR-_7-98 TUE 2:41 PM

SEDGWICI( COUNTY
-3-
FAX N0. 9704740954
P. 2
14.~ ~rreamndanoe Info rmation:
2.P Lp ICANT/QpERETOR (aamp~ addrGpp~ end phone eP aamp t0 by uord Oa pBrmi,t)
Contact's Name: Q ~~. _ rl y p ~ r ~~ ~+ ~- Title: S-~~ r ~ 1 ~ ~ o ~
Q
~
Company Name: Sa ~ ~ .. ~ : C ~~ C e u,~~-
ua ~ ~
B~ ~~~o
~
SLSeet i ,~~ ~ S n . ~ '~ ~,. 1
~ e rl r. Y
City: ~? b v r
State: C o . ;ip Code: ~0 7 ~ ~
Telephone Number: t 4 ~ O : - 4 Z,4 . _~ 7 (o
rac Number: L ~f ? O : - 4 4 - _~ _S S ~
~ PLR~TIH6 coxy-cr (if diPfesamt free applicant/Operator above)
Individual's Name: Title:
Company Name:
Street:
Cityt
state: Zip Code:
Telephone Number: [ 1 -
Paz Number: ~ 1 -
IMePSCTIOx OpNTI-CT
Individual's Name:
~P~Y Name:
Street:
city:
State: Sip Code:
Telephone Number: [ ~ -
FaX Number: j ~

~rATE OR Lltl\L o t : f aav ~
7-O~+cY ~
street:
City:
state: zip ~e0
Telephone Number: j ~ -
~, n.lfTr An ivnRilaL IaNDOiiliER (if anYl
bgeaey:
Street:
City:
State: Eip Code:
Telephone Number: ~ ~ -
i