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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 /> Permittee Contact: Steve White <br /> Permittee Company: Montrose County Planning& <br /> Development <br /> Address: 949 N. 2nd Street <br /> Montrose, CO 81401 <br /> Phone Number: (970)252-4550 <br /> Fax Number: <br /> �/'76 ._ �� L 1 - LG- z` -Y z <br /> Email Address: Swhite@montrosecounty.net <br /> Permitting Contact: 4k4a se1r <br /> Company: gart]V t:,:��'�.[CI'LTD v u <br /> Address: P-O Box 781 <br /> Delta,--CO 81416 <br /> /l,! <br /> Phone Number: OJ70�874-54— <br /> Fax Number: (97O M4-51S3 <br /> c1`7r - .� �`) � G:Z- �z: <br /> Email Address: <br /> Inspection Contact: Brian <br /> Wilson <br /> �v�vy� k� r\�,• � i;� <br /> Company: £srfWStone-Etd-- <br /> Address: <br /> D ci '1 Al Z3-� <br /> Phone Number: C-1,7 � 4 9 L, t <br /> Fax Number: - <br /> Email Address: <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being cond cted in accordance with Ztheivision approved mining and reclamation plans. <br /> 1OlA,-111VL S D&y. D/R 3A3� <br /> Sign re o Permittee Co or e O ficer,Owner,or Documented Designee Date <br /> M-AF-04 <br />