PERMFILE108418

• Permit No: M2004023
• IBM Index Class Name: Permit File
• Doc Date: 3/26/2004
• Doc Name: 110c Appl
• From: Phillips County
• To: DMG
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Randy Schafer Titie: Planner.
Company Name: PhilliFs CountX
StreeUP.O.Box: 221 S. Interocean Ave. P.O.Box:
City: Holyoke
State: CO Zip Code: 80734
Telephone Number: ( 970 )- 854-3778
FaxNamber: - ( 970 )- 854-3811
PERMITTING CONTACT (if different from applicant/operator above)
ContacYsName: -same as above . Title:_
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number:
Fax Number:
INSPBCTT~LLLONTACT
Contact's Name:
Company Name:
Sheet/P.O. Box:
City
same as above
P.O. Box:
State: Zip Code:
Telephone Number: ( 1-
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if and
Agency.
Sheet
City:
State:. Zip Code:
Telephone Nmmber: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
STreet:
City:
State:
Zip Code:
Telephone Number