2008-07-10_REVISION - M1978143 ‎(4)‎

• Permit No: M1978143
• IBM Index Class Name: REVISION
• Doc Date: 7/10/2008
• Doc Name: Preliminary adequacy review response
• From: Environment, Inc.
• To: DRMS
• Type & Sequence: AM1
• Email Name: SSS
• Media Type: D
• Archive: No

BUILDING PERM A, APPLIGA IOIN
Jurisdiction of
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BUILDING PERMIT NUMBER: B-
Certification:
DATE OF ISSUE. !
rn described has met the minimum
Irements or-
TION.
As
the
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APPL.1CAAPPA0iL@1AA
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at the time this
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c are pmhibiLed by law
Section 34-3 5-115(4)(f), C.RS ;
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s
CITY STATE ZIP PRUNE
2. LE?rA?9sl c ?+ r, 1 do not have any
Provisions extract, exp o atton opera tons e
E a e o Colorado
Seetiotti ??3W : ) asCd$en 90.?eb . W •' sec •E j n/o I

3.
JO$, ?jfiS(h nts in i ton in SECTI N
ma (er ? f y
P96 TOWNSHIP RANGE
t false statements made
4 ARC W>Tc0VeVEj'(R4Mde anor pursuant to Section IIVS-50, C, KS
has. hT v the Mined Land Reclamafla,'r oard pursuant to secfion 3 -32.5-112,0 S., of the Colorado Land
5. EN WEER: w 0
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CTrY STATE ZIP PHONE
G_ LENDER: Y !;e q /& S. i00

CRY STATE. ZIP PHONE
7. USE Ur- B UILDINU: Ie /?/ n •? ]`
S. CLASS OF WORK; NEW OADDITION DALTERATION OREPAIR OMOVE DREMOVE
9. DESCRIBE WORK: .., ti o c, /, Z o/a f.
NGTICE: This permit becomes null and void ifwork or COnstructiDn is not comm within 160 days, or if con ruction or work is Suspended or abandoned for a period of 365 days at
any time after wort; is commenced I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances
governing this type of work will be complied with whether specified herein or not The granting of a peimil does not presume to give authority to Violate or cancel the provisions of any
other slate BI I regal ling construction or the performance of construction
/, •? j _ ? ??//I,, it /? 7 ''
SIGNATURE OF D TRAC O OR AUTHOREZED AGh3]N7 DATE SIGNATURE OWNER I O ER BUILD DATE
DO NOT WRITE BELOW THIS LINE DO NOT WRITE BELOW THIS LINE
TOTAL FEE VALUATION OF WORK BUILDING PERMIT FEE
'REPAYMENT DATE PREPAYMENT PAID ZONING FEE
'OTAL BALANCE DUE TYPE OF CONSTRUCTION OCCUPANCY GROUP DIVISION
ONING APPROVAL //7 .L V0-7

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TOTAL SF

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SPECIAL APPROVAL QUT APPROVED

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APPLICATION PLANS CHECKED BY APPROVED FOR
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ACCEPTED BY ANCE BY
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