Stormwater - Affiliates

Facility Name: KWIK STAR STORE #929 - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Private File No: 35064 Authorization No: 35064-34705

Expiration Date: 8/1/2020(discontinued) Address: 1001 UTICA RIDGE PL. - BETTENDORF , IA 52722

County: SCOTT Field Office: 6 SIC: Geospatial Information: 707009(X)/4603527(Y) (Electronic app)

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