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HomeMy WebLinkAboutbocc.con.008.1994 �� I i 1 . �� '�"r' 1 �� - ` . . . �.G t Yj_t� � . r - +f', y, V:'.f r �J'" / / `,y. ':I 4 �..t �. . .� x ,�M1. . . . � � . � �, si�� *� ��, r °�,�JtJ � i .�.. "� ....�"�; t�F..�iu'� ,.'r44�o�-�' r' � ��,r3"{�?r�,' �� _.� �"; . � : , , ��,..���� .'y� . f.r y y'k , ��t,�;�r, �',C,1 1 .+.v.' '"is'`.-�}��"� � , . �'` . l��� . Hf '�����:' � . �� - �„ -;�'�4: G: ;., ' . � . ��_ ... • . i � 1 ' , a . : f . ; C��f b ,� ; , ,. ; `f- `� f �, : i '; , � , . ; '•'!'� � , ' GRANT OF LICGNSG/PCRMI'1 . _ • t. �. . The undersigned, representing the Board of.County Conunis5ioners G>. , � of Pitkin County, Colorado, does hereby grant a license to L-he _ above na+ned applicant to provide ambulance service wiL-h.in PiCkin � Counly. . This licens� shall ltave upoii it ai�y resl-riel-ious lisled �.;�. , , b�low, shall be granted any waivers listed below, and shall be ! . valid for lhe dates listed belc�w, unless revoked by the Doa�d pursuant to the provisions oi Resolut.ion No,. 8'7-� RESTRICTIONS: . ,�. . , . WAZVGR5 GRANTED: ___ �_� �� � � �j I ' . + .f•'' ., , . , . , : j _ j • _��1 �; . . . � . ' � - . . - �j� c � � .. � � �� "lF1IS LICENS� IS VALID I'ROM/UNTIL: Janunry I, 1994 uitCil I�em r 31. 194/�. � � F. ?� ,� � .DATE: / ����!�6"z-""' �r� N. E� {t . . _ . ._ •� � . . � . . f '��� CIIRIRMAN, DOARD OI' COUNTY COMMIS5ION�RS . � �. . ' � �` . . . _ , ' Wc'rY� srs..Gd;: ...u�a..,u.....-.��—�.vc��. .•..-.,- .,.r K :,. . � .. . . � � r I V" ��I'r�E+xr+rr�ry �'J - e . :.. l;. �+' . .. �.- .. . - .,.a;�. ,:a.Y ,.*:�c� f�`+ � } , . .. .. - - . . . ' .. .. . . .. � . � ... � . . . . . � - . .. - '. . I . � . . ... . . .. . . � . . . . � . . . . ' .. .. � � .... .� . . . �. . . . � .. . .. . ' - �� . ;��� �� . . . .�� . . . . . .. . . . . . . . . . . . ' . .�, �'k t �w t � � `7` t �o u::s ` :.r, r il i ^ .�, _ + i' � j ,. a la r.. f� �. ! r �� k� z� n .., � _ '�1��s' , i� .;� 1,� au'!� .+si�te� �.� ` � ��s s Y � ,:. Na 7� f� ,�?',Y1, �3G : r.�Y�M§��tt; �'� � � � �' • � f y �y . . �.. . :?�", � � . ��' ��j��l�ht ''-'. 'i 1���,'. ", �' r�'} - � . - � -,.rn< ,.ti..re4,[. . +S'� +G � . ..,.... . ..._ ... . .. ' .t4 . � ' . . . . . . . i74 . � f � _ '`, �I . • , ' . ��� ��� . f � r ' Y � • ' � � � •�•��~ � !, � � 'PZTKTN COUNTSC APPLICATYON FOIt AMHULANCE LTCENSE `. ' !,. . ./ � �'- � �:: � PLEASE TYPE ALL INFORMATION "' ;', ' SERVICE NAME: Saosamaea-Wildcet Fire Pxotactioa Dietrict � ��' - . �. r`,' ADDRESS: Box 6436 5275 Owl Craek Road Snowmass VillaRe, C0 81615 OWNERS OR OFFICERS: 'Snowroase-WildCat Fire ProtecEion'DietYict PHONE NjTMBERSi 923-2212 -. • , � . ;,:..ti . . I DESCRTPTTON OF AMHITLANCE: .'MA&E, MODEL, YEAR, LICELiSE NO. ` � Chew Wheeled doach T�tve I� 1993.UVCt�807 Ir�(�i[- � ADDRE5S AIZD DESCRIPTION OE.BASE,OF OPERATIOPIS: 5275 Ow1 Creek'Road, - . Snowmase Wildcat'Pize Psotectian Di.strict StaC3on'�1 - �:s PHYSICIAN ADVISOR: Dr Steve.Avere . ' . . :� • , , . COLORADO CERTIFICATION'NtTMHBR's `7`7 2'7'� - - PHONE NUMBERS: 2 - 1� home • ' Z -112 . rk . , SIGNAT[JRE• � ' � _ --c ,.:,-`� WAIVEK REQUESTS:..Noua. • • . - . � ' . .. . t .; • � . �. . • . • _ � _ � i.:j . . • . ' . • . . ... � . . .� �:�� � . • .. � . ., . ..' . . . . . . � . . . � . . _ . - . .. . . . . . . E � . �. . " � .. . APPLICANT: � ' •�i� �_P.I�.DATE:�I�"I�'I � .. . , - SIGNATURE: G�e:� " � h.: ��..C�,►�P�-�-�. ��� � �K�., . � N�� "" ��� ��-- � � � � . � , . ; ,. � - :, __ __ ....__ __ . __. ._. _ _ _. . .. .._. � _ � � _ �: . . , . £� . , t, . , � , . - ��� � -aG.�"'�T� . . . � . -� . � . � , w.}