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Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Scott Stewart <br /> Permittee Company: #17 Enterprises, LLC <br /> Address: 0275 CR 22 <br /> P.O.Box 88 <br /> DeBeque, CO 81630 <br /> Phone Number: (970)283-9420 <br /> Fax Number: (970)283-5227 <br /> Email Address: Sstewart@thehighlonesomeranch.com <br /> I,the undersigned, hereb information provided in th��andrec�lamation <br /> and accurate, and that site operations are <br /> being conducte a cordanc ith t n plans. <br /> Signature of ermitt Cor orate Officer,Owne , ocumented Designee Date <br /> M-AF-01 <br />