PERMFILE131989

• Permit No: M1989120
• IBM Index Class Name: Permit File
• Doc Date: 10/6/2003
• Doc Name: Application
• From: C&M Concrete Companies
• To: DMG
• Media Type: D
• Archive: No

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10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Bob Allen
Company Name:
Street:
City:
State:
Area Code:
PERMITTING CONTACT
C & M Companies
7916 Niwot Road; P. 0. Box 490
Niwot
Colorado Z1D Codes 80544
303 Telephone: [phone]
(1f different from applicant/operator above)
Individual's Name: Gary J, Tuttle -
Company Name: Tuttle Applegate, Inc.
Street: ~~11990 Grant Street, Suite 410
City: Denver
State: Colorado Zip Code: 80233
Area Code: 303 Telephone: [phone]
INSPECTION CONTACT (if different from appllcantloperator above)
Individual's Name:
Company Name: ;
Street: ~. .
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future O Cropiand(CR) O Pastureland(PL) O General Agriculture(GA)
land use ^ Rangeland(RL) O Forestry(FR) O Wildlife Nabitat(WL)
(check onej: ^ Residential(RS)O Recreatton(RC) O Industrial/Commerctal(IC)
i? Developed Wnter Resources(WR) ^ Solid Waste Disposal(ND) _
12. Primary present ^ Cropland(CR) X3 Pastureland(PL) O General Agriculture(GA)
land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
(check ;one): p Residential(RS) ^ Recreation(RC) O Industrial/Commercial(IC)
^ Developed Mater Resources(WR)
To the best of my knowledge, all the information presented on this application form and
the att+a'ched Exhibits A-P are true and correct (ew be signed by ^applicant/operator),
Date: I~ar~vv~3Ee `7~ 1 Cr~ BY: . e . ~ ~. t ~ .. ((~~
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