2007-03-21_REVISION - M1987028 ‎(2)‎

• Permit No: M1987028
• IBM Index Class Name: Revision
• Doc Date: 3/21/2007
• Doc Name: Inadequate Submittal
• From: DRMS
• To: Colorado Marble, L.L.C.
• Type & Sequence: SO4
• Media Type: D
• Archive: No

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II •nMiPiICTAATTYE INFORMATION:
1. Permit N~ber:
2. Operative Name:
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3. Current Perms ttt~0oentor
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Socceseor poentor.
Cwtact Person:
Campmy Name:
Stroll:
City.
state:
Atea Code:
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u~L Telephone: 329- f($(oO
Telephone: ~9 ^ ~~ ~
IRS Tax ID No. ar Social see~ity No.: L" /~/+~ S$ - ZSZ ~ 13 3
5. Aooikatbn F«: S 100.00 for Herd Rock operations; S 125.00 for Constructive Materials operations
Make check payable to the Divisive of Minerals and Geology
~A- zip case: 3o/Z/