PERMFILE125728

• Permit No: M2004043
• IBM Index Class Name: Permit File
• Doc Date: 6/10/2004
• Doc Name: Application
• From: Valco Inc
• To: DMG
• Media Type: D
• Archive: No

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•
14. Correaoondence Information:
APPLICANT/OPII2ATOR (name, address, and phone of name to be used on permit)
~ Contact's Name: ~ gm a a ~ , I~ ~u BA K 2 ~ Title: ~ (ZES ~ n E.~ 'T
CompatryName: VALco IN~-~
Street/P.O. Box: ~. ~ r~ S •_ ~ 7 rt` S T2 E ET' P.O. Box: 5 S O
Clty: ~GC~KU ~A(LO
State: L f7 Zip Code: ~ f !~ 4s 1
Telephone Number: ( 1 19 1- 2-S '~/ -~7 ~{ Ca ~{'
Fax Number. f ~11 ~1 ~ - 'L $ ~ - 7 4' Io ~,

PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: ~E~ r~ ~ o N E s Title: ~~ ~2 ~s - F N ~Nr-E
Company Name: V~Fk I r" 1 NC-.
Street/P.O. Box: 2 ~ O S . I ~''~' S T72 E 6-r-- P.O. Box: S 5 O
_
Ciry: rPOGK ti 4 t~2-o
State: L© Zip Code: K Iti (01
Telephone Number: ( 11 y ~ - 25 N- 7 ~ b ~-{
Fax Number: ( ~ 19 ~ _ 2.5 N -~'fl~ ~~
•
INSPECTION CONTACT

Contact'sNeme: /' ~ )
f-~r-~f3 fE!-;•iZ-Sor>
Title: /
~~H*~/;cE(L.

Compaq Name: U
f~Co
I ~
-' L ~

$1reeUP.O. BOX: (
-
1
b (~ '] /`~ ~ ~.-i N O E N
P.O. Box: ~7 r,
/ 1~ 3
City: ~7i1 N ~ f.7A-O

State: (:f~ Zip Code: ~ I O 1,32.,_
Telephone Numbet: ( "1 t 9 ) - ~ ~ 5 - I U Z 3
Fax Number: ( '7 1 ~') I _ ~ ~f S - 1 U 2y

CC: STATE OR FEDERAL LANDOWNER (ff soul
Agency:

Street:

City:

State: Zip Code:

Telephone Number: !_ ) -

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
• Ciry:

State: Zip Code:

Telephone Number: ( ) -