My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REV94188
DRMS
>
Back File Migration
>
Revision
>
REV94188
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2016 3:19:44 AM
Creation date
11/21/2007 11:38:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976051
IBM Index Class Name
Revision
Doc Date
10/14/1997
Doc Name
CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM4
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
-3- <br />14. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Debi Duckels Title: Project Manager <br />Company Name: Duckels Construction, Inc. <br />Street: 41230 RCR 11129 <br />City: Steamboat Shrines <br />State: Colorado Zip Code: 80487 <br />Telephone Number: ( 970 ) - 879-6072 <br />Fax Number: ( 970 ) - 879-6748 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Contact's Name: Same Title: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ~ ) - <br />Fax Number: ( ) - <br /> <br />INSPECTION CONTACT <br />Contact's Name: Same Title: <br />Company Name <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: _( ) - <br />Fax Number: ( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if anv) <br />Agency: N/A <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if anv) <br />Agency: N/A <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />
The URL can be used to link to this page
Your browser does not support the video tag.