PERMFILE138574

• Permit No: M2007030
• IBM Index Class Name: Permit File
• Doc Date: 6/11/2007
• Doc Name: Information as Requested
• From: City of Rifle
• To: DRMS
• Media Type: D
• Archive: No

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G. Correspondence [nCorntation:
APPLICANT/OPERATOR (name, ad11dress, and phone of name to be used on permit)
Contact's Name: _YJ~.1_
Company Name: qq ~~ R ~ ,_
SffeeUP.O. Box: LpII~,rr i I ro Ol AUP,tn V~
City: 1`~ Y I(J-
State: ~.~~~r(/~U101n X12
Telephone Number: ( p~1 D , - IVn~~ ' ~~1/Il~:J
Fax Number: ( - `1 ~ 1- ~ U'J' ~ LIF
PERMITTING CONTACT (if different from applicanUoperatorobove)
Contact's Name:
Company Name:
Sffeet/P.O. Box:
Ciry:
State:
Telephone Number: { ) -
Fax Number: ( j -
Contact's Name:
Company Name:
SffeeUP.O: Box:
City:
State:
Telephone Number: ( )-_
Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNErER (if any)
Agency: N~G
Streea
City:
State:
-Telephone Number: { ~ -
CC: STATE OR FF.DF,RAL LANDOWNER (if anv)
Agency: N~J~
Street:
City:
State: __
Telephone Number: f 1-
Titte:
P.O. Box:
Zip Code:
Title:
Title:~~~b~l{, Wor~C ~Ii~L~
Zip Code
P.O. Box
Zip Code
Zip Code:
Zip Code: