Stormwater - Affiliates

Facility Name: CITY OF CORALVILLE - IOWA RIVER LANDING WETLANDS PARK

Permit Type: GP #2 - Construction Activity Legal Status: Public File No: 10706 Authorization No: 10706-10504

Expiration Date: 1/9/2007(discontinued) Address: 211 EAST 10TH STREET - CORALVILLE , IA 52241

County: JOHNSON Field Office: 6 SIC: Geospatial Information: 619114(X)/4614892(Y)

Affiliates

Individual?

Type:*

Name:

Title:

Company Name:

C/O:

Address:

Address 2:

City/State/Zip

E-mail:

Contact Owner

Preferred Method of contact

Business Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Ext:

Home Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Fax:

Error! Phone Number Format Must Be (XXX)XXX-XXXX

Mobile Phone:

Error! Phone Number Format Must Be (XXX)XXX-XXXX