PERMFILE70145

• Permit No: M1994097
• IBM Index Class Name: Permit File
• Doc Date: 9/6/1994
• Doc Name: APPLICTION FORM
• Media Type: D
• Archive: No

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Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: T-sw~.a-,re /"~ ;`,~-,o,_
Company Name: 1~- ~ ~ ~. , _ ~ ., „sz._l ~.~~L.~ ~._~
Street: ~~! 5 / ~~-; _-~1,,~-•~:.,. Q.e~-.~
C1ty: C~ ~do~ 03
State: \o Zip Code: 8 UPv b3
Area Code: 3 6 ~ Telephone: ~ t - `~ 8
Company Name:
Street:
City:
State:
Area Code:
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: sU-~-~_ ~s a ~-~r-.~.e
INSPECTION CONTACT
Individual's Name
Company Name:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:

C.„ (;, .,-t.~_.,., Zip Code: Q; ~ 1E O`1
~7r, ~ Telephone: a, =E °r - 7g ? ~
CC: STATE OR FEDERAL LANDOWNER Cif an v)
Agency:
Street:
City:
State:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if an v)
Area Code: Telephone:
Agency:
Street:
City:
State:
Zip Code:
Zip Code: