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2012-04-24_REVISION - M2002020 (3)
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2012-04-24_REVISION - M2002020 (3)
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Last modified
6/15/2021 2:25:40 PM
Creation date
4/25/2012 4:19:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2002020
IBM Index Class Name
REVISION
Doc Date
4/24/2012
Doc Name
AMENDMENT APPLICATION
From
CITY OF GREELEY
To
DRMS
Type & Sequence
AM1
Email Name
PSH
Media Type
D
Archive
No
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11. Correspondence Information: <br />APPLICANT /OPERATOR (name, address, and phone of name to be used on permit) <br />Jon Monson <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />INSPECTION CONTACT <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />City of Greeley <br />1100 10th Street, Suite 300 <br />Greeley <br />Colorado Zip Code: 80631 <br />(970 ) _ 350 -9811 <br />( 970 ) _ 350 -9805 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Bill Schenderlein <br />Blue Earth <br />Fort Collins <br />Colorado Zip Code: 80522 <br />(970 ) _ 227 -2803 <br />Jim Hall <br />City of Greeley <br />1100 10th Street, Suite 300 <br />Greeley <br />( 970 ) 336 -4039 <br />( 970 ) _ 350 -9805 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number <br />- 3 - <br />Colorado Zip Code: 80631 <br />Title: Water and Sewer Director <br />P.O. Box: <br />Title: Project Manager <br />P.O. Box: 973 <br />Title: Water Resources Manager <br />P.O. Box: <br />Zip Code: <br />( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />
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