2009-12-04_REVISION - M2005006

• Permit No: M2005006
• IBM Index Class Name: REVISION
• Doc Date: 12/4/2009
• Doc Name: Notices
• From: DRMS
• To: Various
• Type & Sequence: AM1
• Email Name: GRM
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLIC_A TUMERATOR (name, address, and phone of name to be used on permit)
Contact's Name: (Chairman) Title: Commissioner
Company Name: Moffat County Board of County Commissioners
Street(P.O. Box: 221 West Victory Way P.O. Box:
city: Craig, "
State: Colorado zip code : 81625
TeiephoneNumber: (970 824-5517
Fax Number: j 1-
PERlT1TiNG CQNTACT (if different from applic ardoperator above)
Contact's Name: Marvin Moore Title: (Consultant)
Company Name:
StmeVP.O. Box:
City:
State:
Telephone Number.
Fax Number:
1570 Ramey, P.O. Box:
Craig
co Zip Code: 81625
970 )- 824-9249
INSPECTION CONTACT
Contact's Name: Billy Mack Title; Director
Company Name: Moffat County Road Department
Stmet/P.O.Box• 822 East 1st. Street P.O.Bw.667
City: Craig,
State: ..C0 zip Code: 816 26
Telephone Number. [ 970 )- 824-3211. Ext. 15
Fax Number. ( 970 1- 824-0356
CC: STATE OR FEDERA L LANDOWNER fif any)
N/A
A,encr-
Street:
City:
Sete: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FBDERA L LANDOWNER (if any)
Aiiencr, N/A
strut
City:
State: Zip Code:
Telephone Number. ( ) -