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MR! <br />1 I. Correspondence Information: <br />APPLICANTlOPERATOR <br />(name, address, and phone of name to be used on permit) <br />Contact's Name: <br />Steve Williams <br />Title: Road Supervisor <br />Company Name: <br />Washington County <br />Street.-T.O. Box: <br />11920 Co. Rd. CC <br />P.O. Box: <br />City: <br />Anton <br />State: <br />Co <br />Zip Code: 80801 <br />Telephone Number: <br />( 970 _ 383-2216 <br />Fax Number:97L0 <br />_ 383-2213 <br />PERMITTING CONTACT <br />(if different from applicant/operatorabove) <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) 970-520-0502 (Cell) 970-854-3778 (work) <br />Fax Number: <br />( 970 ) _ 854-3811 <br />INSPECTION CONTACT <br />Contact's Name: <br />Steve Williams <br />Title: <br />Company Name: <br />Washington County <br />Street/P.o. Box: <br />11920 Co. Rd. CC <br />P.O. Box: <br />City: <br />Anton <br />State: <br />CO <br />Zip Code: 80801 <br />Telephone Number: <br />( 970 _ 383-2216 <br />Fax Number: <br />( 970 _ 383-2213 <br />CC: STATE OR FEDERAL LANDOWNER (if anv) <br />Agency: <br />Street: <br />City: <br />Slate: <br />Zip Code: <br />Telephone Number: <br />{ ) _ <br />CC: STATE OR FEDERAL LANDOWNE-R (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />