Stormwater - Affiliates

Facility Name: POLK CO. - RIVER PLACE FLOOD WALL IMPROVEMENTS

Permit Type: GP #2 - Construction Activity Legal Status: Public File No: 18208 Authorization No: 18208-17984

Expiration Date: 5/1/2012(discontinued) Address: 2309 EUCLID AVE. - DES MOINES , IA 50310

County: POLK Field Office: 5 SIC: Geospatial Information: 446350(X)/4608447(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