2002-10-01_REVISION - M1977184

• Permit No: M1977184
• IBM Index Class Name: Revision
• Doc Date: 10/1/2002
• Doc Name: Permit Amendment Application
• From: City of Fort Collins
• To: DMG
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-t-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: MARK SEARS Title: NATURAL AREAS PROGRAM
Company Name: CITY OF FORT COLLINS_DEPTo OF NAT. RESOURCES MANAGER
Street: PO BOX 580
City: FORT COLLINS
State: COLORADO Zip Code: 80522-0580
Telephone Number: 9( 70 1- 416-2096
Fax Number: 9{ 70 l- 224-6177
PERMITTING CONTACT (if different from applicandoperator above)
Contact's Name: FRASER WALSH Title:
Company Name: TST, INC. CONSULTING ENGINEERS
Sheet: 748 WHALERS WAY, BLDG. D
City: FORT COLLINS
State' COLORADO Zip Code: 80525
Telephone Number: 9( 7 0 1- 2 2 6- 0 5 5 7
Fax Number: ( 970 1- 226-0204
SPECTION CONTACT
Contact's Name:
Company Name:
Street:
City: _
State:
Zip Code:
Telephone Number: (_~ -
FaxNumber: ~~-
CC: STATE OR FEDERAL LANDOWNER (if and
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ~_~ -
CC: STATE ORFEDERAL LANDOWNER (if
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ~~ - -