2010-12-21_PERMIT FILE - M2010083

• Permit No: M2010083
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/21/2010
• Doc Name: New 110c Appl.
• From: Lincoln County
• To: DRMS
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
' Kenneth Morrison Title: Land Use Admin.
s Name:
Contact
Company Name: Uneoln County
103 3rd Avenue P.O. Box: 39
Street/P.O. Box:
City: Hugo

Colorado 80821
Zip Code:
State:
Telephone Number: J19 ) - 743-2337
743-2815
71
Fax Number: 1-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( 1-
Fax Number:
INSPECTION CONTACT
Kenneth Morrison Title: Land Use Admin.
Contact's Name:
Company Name: LinCOln County
103 3rd Avenue O. Box: 39
P
Street/P.O. Box: .
City: Hugo

Colorado 80821
Zip Code:
State:
Telephone Number: (719 ) _ 743-2337
Fax Number: (719 ) _ 743-2815
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone: Number: ( ) -