2012-09-05_REVISION - M1978078SG ‎(3)‎

• Permit No: M1978078SG
• IBM Index Class Name: REVISION
• Doc Date: 9/5/2012
• Doc Name: Submittal
• From: Lincoln County
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: K Morrison
Company Name: Lincoln County
Street/P.O. Box: 103 3rd Avenue P.O. Box: 39
City: Hugo
State: Colorad Zip Code: 80821
Telephone Number: ( 719 _ 743 - 2337
Fax Number: ( 719 1 _ 743 - 2815
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: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Kenneth Morrison Title: Land Use Administrator
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Lincoln County
103 3rd Avenue P.O. Box: 39
Hugo
Colorado Zip Code:
(
(
719) _ 743 -2337
719 ) _ 743 -2337
CC: STATE OR FEDERAL LANDOWNER (if any)
- 3 -
Title: Land Use Administrator
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )