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Page 5 of 5 <br />Divisive ,ecmds indicate the fullowi„g pei mittee contact intonnation, If this information is not current, please type or print <br />current contact information: <br />Permittee Contact: <br />Alan Parkerson <br />I <br />Pennittee Company: <br />Parkerson Construction, Inc. <br />Address: <br />710 S. 15th St <br />Grand Junction, CO 81501 <br />Phone Number: <br />(970) 242-8134 <br />Fax Number: <br />(970) 242-8977 <br />i <br />Email Address: <br />AlanC�parkersons.com <br />I, the u,,dC,5ig„z;d, he,eby State that the i„fv,,,,atio„ povided i„ this iepon ib tiue dnZ1 accurate, and that site operations are <br />bei.ig co,iducted in accordasyet-w%th the Division approved mining and reclamation plans. <br />���r�► �sy.. j��� ' !ate <br />Signature of Permittee, Corporate Officer, Owner, or Documented Des:e..eu Date <br />F, nr-0I <br />