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1 I. Correspondence Information: <br />ANTICAN F'01TRATOR <br />(name. address. and phone ol'name to he used on permit) <br />Contael's Naunc: <br />Chriisk#w L. Varra <br />C++nyan\ Nattle: <br />Varra Companies, Inc. <br />Sired P.u. Bov <br />8120 Gage Street <br />URN <br />Frederick <br />Slate <br />Colorado <br />I elephone Number: <br />303 ) _ 666 -6657 <br />Lai Number <br />( 303 ) _ 666 -6743 <br />I)ERNIFITI (I CONTAU] <br />(ifdifferent from applicmworieratorabove) <br />Conlaet',, Name: <br />Bradford Janes <br />Company N:une: <br />Varra Companies, Inc. <br />SircciA,A). lion: <br />8120 Gage Street <br />Frederick <br />I itle: _President <br />I,,O Noy <br />Lip Code 80516 <br />I the Forester <br />It.(). Ito: - -! <br />Stale: Colorado L113 (lade: 80516 <br />1 clephone Number: ( 970 ) _ 353 -8310 <br />Fax Number. <br />( 970 ) _ 353 -4047 <br />INSI.IEC ION CON'I A(A <br />Contact's Name <br />Garrett C. Varra <br />Comp.my Name: <br />Varra Companies, Inc. <br />Slreel'11.0. Rov <br />8120 Gage Street _ - -- <br />Ciiv: <br />Frederick <br />tita11t: <br />»Colorado <br />I elephone Number: <br />t 303 _ 666 -6657 <br />I ax Number <br />1_303 ) _ 666 -6743 _ -- <br />CC: S IA I M I AWRAL LANDOWNER (il'any) <br />Street <br />('it ' <br />I ide: Vice- President of Operations <br />Lip ('ode: 80516 <br />Slate: — - Lip Code <br />I- elephnne Ntimher: L_ 1- <br />CC: S'I A I'L OR F1.; FRAL LANDOWNER (il'any. <br />Agency <br />tilrect: <br />'Slate: - - - Lip Code: _ <br />Ielephone Number: <br />