2002-07-22_REVISION - M2000090

• Permit No: M2000090
• IBM Index Class Name: Revision
• Doc Date: 7/22/2002
• Doc Name: Amendment Application
• From: Loukonen Bros. Stone
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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14. Cnrresoondencelnformation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
ContacPs Name: VY1tGUAEL J ~EorJA RO I-ONlcOnlfl~ Title: GM ~Vh
Company Name: LO(~KOIJI:I.I SQOS. STOgE
Sic.::: \2qq 3 x). FOOrN~~t~ H,A `t
Ciry: LorJGrho~Ji
State: Got.oRA00 Zip Code: 8050'
Telephone Number: 3( 03 l- 823- (02(08
Fax Number. ( 30~) 82'3 - OS 43
PERMITTING CONTACT (if different from applicanUoperator above)
[ndividual'sName: VYIIGHA£L LoUtc-oNEnJ Title: G~~/N
Company Name: LoutcoNEn) ~~05. STO~tIE
Street: 12q~i 3 N • FOOT hIILLS lFW'1
City: LOn16 manl f
State: GO LO .Q A OD Zip Code: X0503
Telephone Number: ( 3o i 1- 82?~ - G 2CoB
Fax Number. { 303 1 fj t'S - O 8 ~ 3
INSPECTION CONTACT
Individual's Name: S~ M F ~1 S ~.~aJE Title:
Company Name:
Street:
City:
State:
Telephone Number: ~~ -
FaxNumber: j_~-
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (ifanyl
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ~-
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
Citv:
State:
Zip Code:
Telephone Number ( ) -