2011-09-19_PERMIT FILE - M2011049 ‎(7)‎

• Permit No: M2011049
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/19/2011
• Doc Name: New 112c Application
• From: City of Greeley
• To: DRMS
• Media Type: D
• Archive: No

11. Correspondence Information:
1` APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Eric Redcentine Title: Deputy Director
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: (
Fax Number:
City of Greeley
1100 10th Street, Suite 300
Greeley
Colorado
( 970 ) _ 350 -9815
( 970 ) _ 350 -9805
P ERMITTING CONTACT (if different from applicant/operator above)
Bill Schenderlein Title: Project Manager
Blue Earth
Fort Collins
Colorado
Telephone Number: ( 970 ) _ 227 - 2803
Randy Gustafson
City of Greeley
1100 10th Street, Suite 300
Greeley
Colorado
- 3 -
P.O. Box:
Zip Code: 80631
P.O. Box: 973
Zip Code: 80522
Title:
P.O. Box:
Zip Code: 80631
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number:
( )-