PERMFILE116982

• Permit No: M2006049
• IBM Index Class Name: Permit File
• Doc Date: 6/1/2006
• Doc Name: 110c permit application
• From: DMG
• To: Kit Carson County
• Media Type: D
• Archive: No

-z-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name;
Street/P.O. Box:
Citv:
State: ~~/~ C ^~ n Zip Code: ~~~~
i~clephone Number: c ~ t //°~~I )- ~l~r' 0~+~:'')11"1
Pas Number: (~ (VI 1- ".)LKO- ~ rA'-i'~
PER~41"I"PING CONTACT (if different from applicandoperator above)
Contact's Name:
Company Name:
Strcet/P.O. Box:
City:
State:
Telephone Number:
Pax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
Citv:
Title: l.~t"1(4C l.1, ~ N
Title: ~ w i YCU <~N I ti l ~T~-~'l.(92
P.O. Box: ~ `Q
~l nUn 1.211 ti~ f~'fl") ~
(\~.~ Zip Code: /11 )~~ I
f-r-~~- ?Lle - "I~,~I ~
Title: he~iq x'-~Qti)C~n4~. ~i~~W5~a12
P.O.Box: ~lp~
tiune: ~~ ~}, n G~ Zip Code: ~ l1l l /
"telephone Number: ~ 1 - ' l~~' ~~"1l O
I'ax Number. ~~_~-~~" 1~'~
CC• S'I-ATGORFEDERALLANDOWNER(ifany)
Aecncy:
Street
Cih~:
Stale:
Tdcphone Number. ( 1 -
CC: S"fA"fEORFEDERALLANDOWNER(ifanvl
A ~cncy:
Su'cct
Cily:
S rate:
"f~4cphone Numbec ( ) -
Zip Code:
Zip Code:
-3-