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This is an application for an Inert Materials Disposal. Site License in the City of <br />Commerce City, Colorado. The application is included with descriptions of each item <br />listed on the Community Development Inert Materials Disposal Site License Checklist. <br />I Patrick Broda agree to comply with ail the requirements of law, including the Colorado <br />statutes and regulations d Commerce City ordinances. <br />Signature: u-~ <br />Print Name: ~ A ;'-(~ l c.~~ (~ a <br />Date: ~' l02- a a-- <br />Mr. Patrick Broda <br />8200 Dahlia Street <br />Henderson, CO 80640 <br />303-808-2500 <br />