2008-03-31_PERMIT FILE - M2008020

• Permit No: M2008020
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/31/2008
• Doc Name: New 110c Appl
• From: Dolores County
• To: DRMS
• Media Type: D
• Archive: No

-2-
11. Correspontte~nce Information:
APPLICANT/QPEF~ATOR (name, address, and phone of name to be used on permit}
Contact's Name: Tim H u s k e v Title: Road S u p e r v i s o r~
Company Nannc: Dolores _C o u n t v Road & l3 r~~D~.p t- .
Street/P.O. Bt~x: ~. 010 N. G u y r e n e P.O. Box: _ 6 0 8 _
City: T
State: O Zip Code: 813 ~4
Telephone Number: ( 9 7 0 )- 6 7 7- 2 3 2 8
Fax Number: ~ 970 )- 677-3759
PERMITTING COP3TACT (if different from applicant/operntor above)
Contact's Nance: Title:
Company Nante:
Strect/P.O. Box:
City:
State:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
P.O. Box:
Zip Cade:
Contact's Name: Tim Husker Title: Road Suc~eryj sor
Company Name: n o l o r e G S o~ n ~ R o a c3 ~ B i~ g P n P.~,t _
Street/P.O. Box: 1 01 0 N . ~ t ~ ~ r P n ~ P.O. Box: ~ 0 8
City: Dove Creek
State: C'Q Zip Code: 813 2 4
Telephone Number: { 9 7 0 )- 6 7 7- 2 3 2 8
Fax Number: ( 9 7 0 ) -~7 7- 3 7 5 9
CC: STATE OR FE))ERAI, LANDOWNER (if any)
Agency: _.._.. .____._...._...__._._ ......_.._......_._.._..._...._. ..............._.._...... .._......._........~..,._.__._
Street: ,~.._.~- - --.~,~~.~
City:
State:
Telephone Nmnber: ~ _____^_~} -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State:
Zip Code:
Zip Code:
"l'elephane Ntunber: (____ ,_,_,.,~ -