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Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permiee Contact: Don Saling <br /> Permittee Company: City of Sterling <br /> Address: 421 N. 4th Street <br /> P O Box 4000 <br /> Sterling, CO 80751 <br /> Phone Number: (970) 522-9700 <br /> Fax Number: <br /> Email Address: Saling@sterlingcolo.com <br /> Permitting Contact: Don S i ing <br /> Company: City of Sterling <br /> Address: 421 N. 4th Street <br /> P O Box 4000 <br /> Sterling, CO 00000 <br /> Phone Number: (97)052-2970 <br /> Fax Number: .7D _ S-2 <br /> Email Address: Saling@sterlingcolo.com <br /> Inspection Contact: Don S i ing <br /> �A L�rJ <br /> Company: City of Sterling <br /> Address: 421 N. 4th Street <br /> P O Box 4000 <br /> Sterling, CO 00000 <br /> Phone Number: (97)052-2970 q 7D 5 ' - 7a O <br /> Fax Number: Q ID - S2/- O 4-3 2 <br /> Email Address: Saling@sterlingcolo.com <br /> I,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature of Permittee Corporate Offic Owner,or Documented Designee date <br /> M-AF-01 <br />