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-3- <br />11. Correspondence Information: <br />APPLICANT /OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Randy Schafer <br />Title: Administrator /Planner <br />Company Name: Phillips County <br />Street/P.O. Box: 221 S. Interocean Ave. P.O. Box: <br />City: <br />Holyoke <br />State: <br />CO <br />Telephone Number: <br />( 970 _ 854 -3778, Cell 970- 520 -0502 <br />Fax Number: <br />( 970 _ 854 -3811 <br />PERMITTING CONTACT <br />(if different from applicantloperator above) <br />Contact's Name: <br />same <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />( } <br />Fax Number: <br />INSPECTION CONTACT <br />Contact's Name: <br />same <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />( - <br />Zip Code: 80734 <br />Title: <br />P.O. Box: <br />Zip Code: <br />Title: <br />P.O. Box: <br />Zip Code: <br />Zip Code: <br />Zip Code: <br />