2009-07-24_REVISION - M1997027

• Permit No: M1997027
• IBM Index Class Name: REVISION
• Doc Date: 7/24/2009
• Doc Name: CN from 110c to 112c
• From: AJ Botti Construction and Gravel Company
• To: DRMS
• Type & Sequence: CN1
• Email Name: THM
• Media Type: D
• Archive: No

-3-
I t. Corresuondence Information:
APPI.,ICANT'OP.l BATOR (name, address, and phone of name to be used on permit)
Contact'sNa.me: Andrew Botti _ 't'itle: Owner -
J Botti Construction and Gravel
A
Company Name:
.
_
Street/P.O. Box: 4608 -Sundown Road P.O. Box:
Delta
City: ----------
State: - Colorado Zip Code: 81416
Telephone Number: ( 9 7 0 )_ 2 5 0- 4 018
Fax Number: ) -
PERMITTING CONTACT (if different from applicantloperator above)
Contact's Name: Ryan Ellis Title: Project Engineer
Greg Lewicki and associates
Company Name:
Street/P.O. Box: 11541 Warrington Court P.O. Box:
Parker
City:
Colorado Zip Code: 80138
State:
Telephone Number: ( 3 0 3 )_ 8 8 0- 6 6 9 0
Fax Number: { 303 ) 346-6934
INSPECTION CONTACT
Contact's Name: Andrew Botti Title: Owner
Company Name: A.J. Botti Construction and Gravel
Street/P.O. Box: 4608 Sundown Road P.O. Box:
Delta
City:
State: Colorado Zip Code: 81416
Telephone Number: ( 970 )_ 250-4018 -----------------
Fax Number: ( ) - -
CC: STATF. OR FEDERAL I ANDO)VNER if an
Agency: ----------
Street: --- - - ...................._........_..-..._......_......._........._........
..-.... _..._._._..._...-
..........

State: Zip Code ....... ........................ _
Telephone Number: (.--------- ------------- --- ..1 ......_.--.......-....... ...... ....... _....... ..........._....... .._.....--------------------.-...-..--....--._...._... ------
5 F-, )-RA.I. LANt QYLN R (ifaLYI
Agency: -------------------------- ---- ------- ----------
Street:
City.
State: . Zip Code: .............. _.............. _..._......_.......... .........
"Telephone Number: (.___........-----.---_.._.------- ) - -.-.._-....._-....--------- ---- .---- ---.-..._......-...._----......_-------- .._.....------.._...
.
_._._...__ ...............................____..-..-_._.----.------..__..._._.-..----------