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IWM <br />11. Correspondence Information: <br />APPLICANT/OPERATOR <br />(name, address, and phone of name to be used on permit) <br />Contact's Name: <br />Tony Adamic <br />Title: DOT Director <br />Company Name: <br />Fremont County Board of Commissioners <br />Street/P.O. Box: <br />1170 Red Canyon Road <br />P.O. Box: <br />City: <br />Canon City <br />State: <br />CO <br />Zip Code: 81212 <br />Telephone Number: <br />( 719 ) _ 275 -2047 <br />Fax Number: <br />( 719 ) _ 275 -2120 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />- <br />Contact's Name: <br />Tony Adamic <br />Title: DOT Director <br />Company Name: <br />Fremont County Board of Commissioners <br />Street/P.O. Box: <br />1170 Red Canyon Road <br />P.O. Box: <br />City: <br />Canon City <br />State: <br />CO <br />Zip Code: 81212 <br />Telephone Number: <br />( 719 ) _ 275 -2047 <br />Fax Number: <br />( 719 ) _ 275 -2120 <br />INSPECTION CONTACT <br />Contact's Name: <br />Curtis Stone <br />Title: MSHA Supervisor <br />Company Name: <br />Fremont County Board of Commissioners <br />Street/P.O. Box: <br />1170 Red Canyon Road <br />P.O. Box: <br />City: <br />Canon City <br />State: <br />CO <br />Zip Code: 81212 <br />Telephone Number: <br />( 719 ) _ 275 -2047 <br />Fax Number: <br />( 719 ) 275 -2120 <br />CC: STATE OR FEDERALLANDOWNER (if any)., <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( 1- <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />