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PERMFILE102976
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PERMFILE102976
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Entry Properties
Last modified
8/24/2016 9:56:40 PM
Creation date
11/24/2007 9:30:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987131
IBM Index Class Name
Permit File
Doc Date
8/6/1987
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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LJ <br />' <br /> -2- <br />M <br /> 10. Correspondence Information <br /> APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br /> Individual's Name: Robert E. Monks <br /> Company Name• R. E. Monks Construction Corty~any <br />' Street: P. O. Sox 25579 <br /> City: Colorado Springs <br /> State: Colorado Zip Code: 80936 <br /> Area Code: 303 Telephone: 495-3621 <br /> PERMITTING CONTACT (if different from applicant/operator above) <br />' Individual's Name: Gary Tuttle <br /> Company Name: Tuttle Applegate Rindahl, Inc. <br /> Street: 11990 Grant Street, Suite 410 <br /> City: Denver <br />' State: coloraao Zip Code: 80233 <br /> Area Code: 303 Telephone: 452-6611 <br /> INSPECTION CONTACT (if different from applicant/operator above) <br /> Individual's Name: Terry Merrell <br /> Company Name: R. E. Monks construction Corrgany <br />' Street: State Highway 50, County Airport Entrance <br /> City: Florence <br /> State: ('nlnradn Zip Code: a1226 <br /> Area Code: 303 Telephone: 784-4724 <br />' 11. Primary future ^ CroplandtCR) ^ Pastureland(PL) ^ General Agricutture(GA) <br /> land use ® Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />1 !check one): ^ Residential(RS) ^ Recreation (RC) ^ Industrial /Cartnercial(IC) <br />^ Developed Water Resources(WR) ^ Solid Waste Oisposal(WD) <br /> 12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br /> land use ® Rangeland(RL) p Forestry(FR) ^ Wildlife Habitat(WL) <br /> (check one!: ^ Residential(RS) ^ Recreation (RC) ^ Industrial/Commercial(IC) <br /> ^ Developed Mater Resources(WR) <br />' <br /> To the best of my knowl edge, atl the information presented on this application form and <br /> the attached Exhibits A-G are true and correct (must be signed by applicant/operator). <br /> Date: ~„ TAD I °lP~ BY: ~~~,, ~?~l~r~ <br /> Vice President of Development <br />' e <br /> <br />
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