PERMFILE109954

• Permit No: M2007084
• IBM Index Class Name: Permit File
• Doc Date: 11/15/2007
• Doc Name: New 110c Appl
• From: Lincoln County
• To: DRMS
• Media Type: D
• Archive: No

-2-
6. Correaoondence Information:
APPLICANTlOPERATOR (name, address, and phone of name to be used on pemtit)
ContacYsName: Kenneth Morrison Titlei~nA „ca a,;m;n;~r,-~r.,r
Compa~Name: Lincoln Countv
Street/P.O. Box: 1 n ~ ~ r ~ n rra ryyt o P.O. Box: ~ o
City: Hu4o
State; M,.,ra An Zip Code: Rf1R91
Telephone Number: j 719 )_ 7 4 3- 2 3 3 7
Fax Number: ~ 719 1- 7 4 3 7 8 1 5
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name:
Compaq Name:
Street/P.O. Box:
City:
State:
Telephone Number: f ) -
Fax Number: ( 1-
INSPECTION CONTACT
Contact's Name:
Company Name:
StreeUP.O. Box:
City:
State:
Telephone Number:
Fax Number:
Title:
P.O. Box:
Zip Code:
Kann ath Morri,~^n Title: r~..a r, ~_., ra..,: ...: ..~.-,.-..r
T i nrnt n (`^ n},~
109 3rA Avam,a P.O.Box:3~1
Zip Code: R ft R ~ t
( 719 1-743-2337
( 719. 1-743-2815
CC: STATE OR FEDERAL LANDOWNER of am)
Agency:
Street:
City:
State:
Telephone Number
CC: STATEOAFEDERALLANDOWNER
Agency:
Street:
City:
State:
Zip Code:
Zip Code:
Telephone Number: