2004-09-30_REVISION - M1988093 ‎(2)‎

• Permit No: M1988093
• IBM Index Class Name: Revision
• Doc Date: 9/30/2004
• Doc Name: Amendment Application
• From: DMG
• To: Fremont Paving & Redi-Mix Inc
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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FREMO~iT COL~T~'
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Count Cler'.: & Rzcordzr
61 ~ i~[acon ~,aznue, Room I0?-Canon Cin~, Colorado 3 [3 [Z
Phone(i19)3~6-%i~6 Fat(7l9)?7~-1~9,
RE: MINING RECLATMATION PERMIT APPLICATION
COLO STAT. 34-32-112.10.8
DATE
NAME
RECEIVED ~ 0
OF APPLICANT ~ d ~ -
DATE OF HEARING -~ ~ o(cw- Ck "~ -ei~
NA E OF CONT CT PERSON '7 ' /
_ ~~a,~a.»i Phone iC ~~~^ ..7 ~~~/
please riot
Please check which box applies to your permit:
Q I wish to be contacted 30 days after the hearing to pickup the application
I do not wish to pickup the application 30 days after the hearing and herby
give the clerk's office permission to distroy
S
• date of dispostion clerk
permit # ~~ 1~-i - ~~~ D ~3