1989-07-21_PERMIT FILE - M1981302

• Permit No: M1981302
• IBM Index Class Name: Permit File
• Doc Date: 7/21/1989
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual ' s Name: John F. Hickman - contact
Company Name: Western-Mobile, Inc.
Street: 1400 W. 64th Avenue
City: Denver
State, Colorado Zip Code: 80221
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual 's Name:
Company Name:
Street:
City:
State, Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual 's Name:
Company Name:
Street:
Ci ty:
State: Zip Code:
Area Code: Telephone:
11 . Primary future _ Cropland(CR) _ Pastureland(PL) X General Agriculture(GA)
land use _ Rangeland(RL) _ Forestry(FR) X Wildlife Habitat(WL)
(check one) : Residential (RS) Recreation(RC) — Industrial/Comnercial ( IC)
Developed Water Tesources(WR) — Solid Waste Disposal (WD)
12. Primary present _ Cropland(CR) _ Pastureland(PL) � General Agriculture(GA)
land use _ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL)
(check one): Residential (RS) — Recreation(RC) — Industrial/Commercial ( IC)
Developed Water Tesources(WR)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A-P are true and correct (must be sig ed by applicant/operator).
Date: May 23, 1989 By:
o F. RIckman
Manager of Land & Resources
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