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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: Mark Yevoli <br /> Permittee Company: Yevoli Cobblestone Inc <br /> Address: 8347 S. Carr St. <br /> Littleton, CO 80128 <br /> Phone Number: (303)683-0200 <br /> Fax Number: (303)471-1258 <br /> Email Address: <br /> Permitting Contact: Mark Yevoli <br /> Company: Yevoli Cobblestone Inc <br /> Address: 10001 Astoria C c �,� <br /> Lone , O 80124 O 3 q - c. aim <br /> -#(4 C V)Izr <br /> Phone Number: (303)912-1800 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Mark Yevoli <br /> Company: Yevoli Cobblestone Inc <br /> Address: 10001 Astori 83 q T <br /> Lon e, CO 80124 s • rte St ' <br /> 4,-# . ,,, e..A Di 2r <br /> Phone Number: (303)912-1800 <br /> Fax Number: <br /> Email Address: <br /> I,the undersigned, he :y state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in - ,ord.ice with the Division approved mining and reclamation plans. <br /> r-4, <12...--_-27. 46,74 C <br /> Signature , Permitte• Cor,orate Officer,Ower,or Documented Designee Date <br /> M-AF-0 1 <br />