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REV98219
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REV98219
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Entry Properties
Last modified
8/25/2016 3:22:22 AM
Creation date
11/22/2007 12:16:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1995019
IBM Index Class Name
Revision
Doc Date
11/5/2001
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
CN1
Media Type
D
Archive
No
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<br />-s- <br />14. Corrnpondeace Infotmatioe: <br />APPL[CANT7OPERATOR (name, address, and phone of acme to be used on permit) <br />Contact's Name: RAY MI1.i.ER Title: COMMISSIONER <br />Company Name: BACA COUNTY <br />Sveet: 741 MAIN STREET <br />Cirv: SPRINGFIELD <br />State: COLORADO Zip Cade: 81073 <br />Telephone Number: (719 ) - 523-6532 <br />Fax Number: 1719 1 - 523-6584 <br />PERMITTING CONTACT (if different from applicanUopentorubove) <br />Coatact'sNmme: RAY MIi.i.ER Title: COMMISSIONER OF DISTRICT I <br />Company Name: BACA CODNTY <br />Street: 741 MAIN STREET <br />City: SPRINGFIELD <br />State: COLORADO Zip Cam; 81073 <br />Telephone Number. (719 i _ 523-6532 <br />Fax Number: (719 t _ 523-6584 <br />INSPECTION CONTACT <br />Contact's Name: .TACK CARSON Title: FOREMAN <br />Company Nmme: BACA COUNTY <br />Street: _311 MAIN STREET <br />City: TWO BUTTES <br />State: COLORADO Zip Cock: 81073 <br />Telephone Number: (719 i - 326-5921 <br />Fax N»ber: (719 i - 523-6584 <br />CO STATE ORFEDFRAi I OWNER ('f vl <br />Ageaq: <br />Street: <br />CiN <br />State: Zip Code: <br />Telephone Number: ( 1- <br />CC~ STATE OR FEDERAi LANDO R (if e"vl <br />Ageary: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />
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