2012-07-13_PERMIT FILE - M2012008

• Permit No: M2012008
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/13/2012
• Doc Name: PERMIT APPLICATION
• From: CITY OF LAS ANIMAS
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

15. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Ken Wagner
City of Las Animas
532 Carson Avenue
Las Animas
CO
( 719 ) -456 -2571
(719 )- 456 -1210
PERMITTING CONTACT (if different from applicant/operator above)
Ken Wagner
City of Las Animas
532 Carson Avenue
Las Animas
CO
Telephone Number: ( 719 ) _ 456 -2571
Fax Number: ( 719 ) _ 456 -1210
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( 719 ) - 456 -2223
Fax Number: ' 719 )_456-0375
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: (
- 3 -
Ronda Bucholz
Bent County Courthouse
725 Bent Avenue
Las Animas
CO
- 4 -
Title: Director of Public Works
P.O. Box: 468
Zip Code: 81054
Title: Director of Public Works
P.O. Box: 468
Zip Code: 81054
Title: Land Use Administrator
P.O. Box: 350
Zip Code: 81054
Zip Code:
Telephone Number: ( ) -
Zip Code:
) -