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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: Michael Loukonen <br /> Permittee Company: Loukonen Bros. Stone Company <br /> Address: 12993 N. Foothills Hwy <br /> Longmont, CO 80503 <br /> Phone Number: (303)823-6268 <br /> Fax Number: <br /> Email Address: Mollbs@earthlink.net <br /> hl D L 1.bS Fri(Z-T N t 1 n1 rC . 4£T <br /> Permitting Contact: Michael Loukonen <br /> Company: Loukonen Bros. Stone Company <br /> Address: 12993 N Foothills Hwy <br /> Longmont, CO 80503 <br /> Phone Number: (303)823-6268 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Michael Loukonen <br /> Company: Loukonen Bros. Stone Company <br /> Address: 12993 N Foothills Hwy <br /> Longmont, CO 80503 <br /> Phone Number: (303)823-6268 <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 conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature ot Permi ee,Co porate fficer,Owner,or Documented Designee Date <br /> M-AF-01 <br />