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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: Alan Parkerson <br /> Permittee Company: Parkerson Construction, Inc. <br /> Address: 710 South 15th Street <br /> Grand Junction, CO 81507 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: "tff2arkersons.com <br /> LAUMALP <br /> Permitting Contact: Alan Parkerson <br /> Company: Parkerson Construction, Inc. <br /> Address: 710 South 15th Street <br /> Grand Junction, CO 81507 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: *m@parkersons.com <br /> A0100- LavR poeoft►-song. coM <br /> Inspection Contact: Alan Parkerson <br /> Company: Parkerson Construction, Inc. <br /> Address: 710 South 15th Street <br /> Grand Junction, CO 81507 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: bw@parkersons.com JvAr ���� g pq rso ns. corn <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 /> A � <br /> Signature of Permittee Co orate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />