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-2- <br /> 9. Correspondence information: <br /> APPLICANT/OPERATOR(name,address,and phone of name to be used on permit): <br /> Contact's Name: 105trtSZr% Title: Pa(-tne.G' <br /> Company Name: 4 S-i-tro i li)(p(o(4010/%5 1-A— <br /> Street: I124Y — - J to P.O.Box: <br /> City: Pa,,kV <br /> State: GO Zip Code: 86 138 <br /> Telephone Number: ( 7 2-0 ) - 204 - `f°I 6 2-- <br /> Fax <br /> Fax Number: ( ) - <br /> PERMITTING CONTACT(if different from applicant/operator above): <br /> Contact's Name: Title: <br /> Company Name: <br /> Street: P.O.Box: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br /> Fax Number: ( ) - <br /> INSPECTION CONTACT: <br /> Contact's Name: Title: <br /> Company Name: <br /> Street: P.O.Box: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br /> Fax Number: ( ) - <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br />