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-3- <br />11. Correspondence Information: <br />APPLIC ANUOPERATOR <br />(name, address, and phone of name to be used on permit) <br />Con wcts Name: <br />Marls Kokes <br />Title: Presider%VGeneral Partner <br />Company Name: <br />MMM Partnership <br />Street/P.O. Box: <br />15160 Highway 144, Lot 18 <br />P.O. Box: <br />City: <br />Ft. Morgan <br />State: <br />CO <br />Zip Code: 80701 <br />Telephone Number: <br />( 970 ) _ 867 -3624 <br />Fax Number: <br />( 970 _ 867 -3055 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />Randy Schafer <br />Title: <br />Company Name: <br />Street/P.O. Box: <br />40586 Co. Rd. 21 <br />P.O. Box: <br />City: <br />Haxtun <br />State: <br />CO <br />Zip Code: 80731 <br />Telephone Number: <br />( 970 _ 774 -6264 (Home), 970 - 8543778 (Work), 970 - 520 -0502 (Cell) <br />Fax Number: <br />( 970 ) _ 8543811 <br />INSPECTION CONTACT <br />Contact's Name: <br />Mark Kokes <br />Title: <br />Company Name: <br />(same as above) <br />Street/P.O. Box: <br />P.O. Box: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) <br />Fax Number: <br />f ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />