2002-12-30_PERMIT FILE - M2002122

• Permit No: M2002122
• IBM Index Class Name: Permit File
• Doc Date: 12/30/2002
• Doc Name: 112c Application
• From: LJ Development Inc
• To: DMG
• Media Type: D
• Archive: No

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` 14. Conesnondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Jerald A Se; fert Title: c„l < Pronre; tnr
Company Name: Seifert Construction
Street. 198 Range Vi era T oon
City. Westcl~ffe
State: Colorado Zip Code: 81
Telephone Number: ( 719 )- 783-2757 -
FaxNumber: ( 719 1- ~4~£3- 783-a9, 3g J A4
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Joe Cagl;ann Title: on +1 an
Company Name: T T ne~.ol mPn ~ Tnr
Street. 159 Tiffan+~Cour+
City. Puebl o
State: Colorado Zip Code: 81005
Telephone Number: ( 719 1- 940-9424
Fax Number: ( 719 1- 564-3088
INSPECTION CONTACT
Contact's Name: Tne ('agliann nr .T rald A. R if t Title:
Company Name: Hama ^c ^h
Street:
City.
State:
Zip Code:
Telephone Number: ( ) -
FaxNumber: ( )-
CC• STATE OR FEDERAL LANDOWNER (if anvl
Agency NA
Street
Ci[y.
State:
Telephone Number: ( ) -
CC• STATE OR FEDERAL LANDOWNER (if anyl
Agency: NA
Street:
City.
State:
Telephone Number: ( ) -
Zip Code:
Code: