PERMFILE116592

• Permit No: M2002109
• IBM Index Class Name: Permit File
• Doc Date: 10/23/2002
• Doc Name: Permit Application
• From: A Blassi & Son Trucking & Earthmoving Inc
• To: DMG
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Anthony Blasi Tide: President
Company Name: A. Blasi & Son Trucking & Earthmoving lnc.
Street 38043 CR 32.4
City. Trinidad
State: Colorado Zip Code:
Telephone Number: (719 )- 845-8785
Fax Number: (719 1- 845-8786
PERMITTING CONTACT (if different from applicandoperator above)
Individual's Name: Sams Title:
Company Name:
Street
City.
State:
Telephone Number: ~~-
Fax Number: ~~ -
INSPECTION CONTACT
Individual's Name: Same
Company Name:
Street:
City.
81082
Zip Code:
Slate:
Telephone Number: ~~-
Pax Number: ( 1 -
CC: STATE OR FEDERALLANDOWNER (if any]
Agency. t1 / A
Street
City.
State:
Telephone Number: ( 1 -
CC: STATE OR FEDERALLANDOWNER (if any)
Agency. N ~ A
Street
City.
State:
Zip Code:
Zip Code:
Zip Code:
Telephone Number: ( ) -