PERMFILE113350

• Permit No: M2004027
• IBM Index Class Name: Permit File
• Doc Date: 4/14/2004
• Doc Name: Permit Application
• From: Otero County
• To: DMG
• Media Type: D
• Archive: No

3-
14. Corresooodeoce Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: KENNETH S. PARKER Title: PUBLIC WORKS SUPERVISOR
Compaq Nmme: OTERO COUNTY
Street/P.O.Box: 13 W. 3rd STREET, P.O.Box: 511
City: LA JUNTA
State: COLORADO Zip Code: 81050
TelephaneNumber: ( 719 ). 383-3035
Fax Number: ( 719 ) . 383-3935
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Comparry Nmme:
StreeUP.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Nmme:
StreeUP.O. Box:
City:
State:
Title
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (U'any)
Agency: N/A
Street:
City:
State:
Telephone Number: { )
CC: STATE OR FEDERAL LANDO WNER (if and
pgenm,; N/A
Street:
City:
State:
Telephone Number: ( ) -
P.O. Box:
Zip Code:
Title:
P.O. Box:
Zip Code
Code:
Zip Code: