2004-06-15_REVISION - M1977534

• Permit No: M1977534
• IBM Index Class Name: Revision
• Doc Date: 6/15/2004
• Doc Name: 112c Amenment Appl
• From: City of Golden
• To: DMG
• Type & Sequence: AM2
• Media Type: D
• Archive: No

3-

14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Vince Auriemma Title: Deoutv llirector of Public
taorks
Company Name: ~y of Cotden
Street/P.O.Box: 1445 Tenth Street P.O.Box:
City: 6n 1 dan
State: Colorado Zip Code: 80401
Telephone Number: ( 303 )- 3x54-8000 main / 303-384-8156 direct
Fax Number: ( 303 ) - 384-8161
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Mr, Paul Banks Title: Principal
Compaq Name:
Sffeet/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
7'20 Rinlinz St.. Suite 117 P.O.Box:
Lakewood
Colorado Zip Code: 80215
( 303 1- 274-4277
( 303 )- 274-8329
Vince Auriemma Tithe: Deputy Director of Public
works
1445 Tenth Street P.O.Box:
Colorado Zip Code: 80401
( 9i1's 1- 9ri4-:ii)~)Cl main / 9Di-984-815ii direct
( so3 1- 384-8161
CC: STATE OR FEDERAL LANDOWNER (if awl
Agency:
Street:
City:
State: Zip Cade:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if ~
Agency:
Street:
City:
State: Zip Code:
Telephone Number: L 1-