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HomeMy WebLinkAboutbocc.con.012.1993 ..;4....� � . � '� + )'.!f .�. �.. I. � J ' . �.i t: ,. .. , :. . � , ' r w . . x - � . .' t� ��� 1� �� :.. r �. � � + '�'��•.. . � .x ��'i I�nr -,��y�+�'� „i+'�� �ia,7r'a`'�n_' �,� t. y� r ',� '!i" -�{al'� . 4''ti:gj�� >�_ . �' 'i_.. t vi�t7�'�'� - �, � � � :::k»�a �u , s� !' �r,,+ 1�U , , �`�'" • _ . �..�': ��;:�':. �,.. iTy�' .�� _.. _ .� �T 't.. -:r',.:•;a. . ,�'G�ifs��s/lv/•c.9Crp�` ./'l�,e.L l�/c oY'f��"/D k. .Ols l , G' 'r1.3'/�— �>:x'� GRANT OF LICENSE/PERMIT � �� The undersigned, representing the Roard of County Commissioners `x� FY�,Y ,.. of Pitkin Countp, Colorado, does hereby grant a license to tha � ' �., ��`,;i above named applicant to provide ambulance service within Pitkin ;�,. v �ec:. !+' County. This license shall have upon it any restrictions listed � �°�R beZow, shall be granted any waivers listed below, and shall be ', ..F,�', valid for the dates listed below, unless revoked by the Board r pursuant to the provisions oE Resolution No,. 8�-� ': . �. � RESTRICTIONS• 7 �'�� '`�i' . � i � ';• � _ .�� WANERS GRANTED: ' �, '( •�� :� . � ,�. THIS LICENSE IS VALID FROM/i1NTIL: January 1, 1993 until December 31, 1943. �7. �r:. �:� �r: /' �, , ' DATE: -' -'��'l.� C IRMAN, $OARD OF COUNTY COMtQTSSIONERS � ", �} P �,_ � �:,, �.. i _._.._,_..,�v....:_______ ___.._._._,_.__ _ . _._.______.. .__..._ . . ....:_. _. _ . . ..... . _�...__v.. .�_.:...,., • : • l_ 5.: 1 • . . � r ,k�'""�. .. � . ';;,�: . � . � . ��-r . . �L ( ..: . : .: i � _ -'. ,�, .�i , r;:r, f. . J .. �^.� �y . i 2'' � re�k� � � � � � ,y t1,+��� q � �� Y� 4 �.� ���•e� j��i ��"�?:;•�e" ',.71 ��ia.. 1N `�'�'` �'k'a`• � . t .Y ��5'���� - . � ..�..� _ ;� �. . .. �h�' r ..., � #�� ''..ti�-�t . �, .� j3 .. . �'� . .... �� A�:.r . .... ... . .. , tl t �� !. n 5� y ��_. '� _��.�,: ;,. '�'1' '`�> r. y� �d . .__. • . -,�". ':{': ��; ' . e ,�':= PITKIN COUNTY APPLICATTON FOR AMHULANCE LICENSE �`-�' - `� ..� ,Pr. - � PLEASE TYPE ALL INFORMATION �� ' ,�„-. , r� � SERVICE NAME: Snowmass-Wildcat Fire Protection District �• � �,� i :Y�4• 1 ADDRESS: gox 6436 5275 Owl Creek Road Snowmass Villa�e, CO 81615 jii:` ' OWNERS OR OFFICERS: Snowmass-tdildcat Fire Protection District i ��'� ' �_ '''��. '� PHONE NUMBERS: 923-2212 j ..k+;, ( DESCRIPTION OF AMBULANCE: MAKE, MODEL, YEAR, LICENSE NO. ? Chevv Wheeled Coach Type I 1989 ��/L'K��� k; € s � ADDRESS AND DESCRIPTION OF BASE OF OPERATIONS: 5275 Owl Creek Road, k Ii^� � Snowmass-Wildcat Fire Protection District Station /�1 "�>;�` Y i 3 3 � PHYSICIAN ADVISOR: Dr Steve Ayers s - _�. .S-- � , E COLORADO CERTIFICATSON NUMBER: 27273 t + PHONE NUMBERS: 925-2961 home • 925-I120 work k,� � . SIGNATURE: ' ��. WAZVER REQUESTS: None �`� .,, � F�l��. � _; �} ��. r�,� � � � _ DATE: I���I�l`,� �:,; 1 APPLICANT: �RIC NAP1�� �r; :; SIGNATURE: Zti� �"`�-E� � �,� : : ` ��t;. '.; � � . 5 ?c f 5';. ��` • � �`:t.-; � ` �� � ., ::. .. .. 1 '. ' ,-: _ ...._ ..... 3.. ... _... . , , � _.. _ r " . , � . . ` , - , � . �: . � ., ' ��:;,�: . - .�}