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-3- <br />11. Correspondence inrormation: <br />APPLICANTIOPERATOR <br />(name, address, and phone of name to be used on permit) <br />Contact's Name: <br />IM^ <br />Title: Cc s: ., <br />Company Name: <br />1 <br />La n aon An r� <br />Street/P.O. Box: <br />—.�%� <br />i ' A <br />P.O. Box: a7� <br />City: <br />_ r ^fIr- <br />State: <br />[.I c Q <br />Zip Code: <br />Telephone Number: <br />X71 `I _ ] - 7Ty - 1978 <br />^ <br />Fax Number: <br />{ -11!3 ) - 7S- - 1159 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />yenac S. <br />Title: r <br />Company Name: <br />% 4e <br />Street/P.O. Box:00 <br />a .. lCo Z- <br />P.O. Box: 33FS <br />City: <br />o <br />State: <br />t <br />0 <br />Zip Code: 8 ZZ -4 <br />Telephone Number: <br />-11 - 71D'7 - 3173 <br />Fax Number: <br />- <br />INSPECTION CONTACT <br />Contact's <br />z[n4S <br />Name: <br />Title: <br />Company Name: <br />Laen <br />Street/P.O. Box: <br />P.O. Box: <br />City: <br />poG <br />State: <br />o 1. <br />Zip Code: 8'/22 <br />Telephone Number: <br />X7(9 ) - 7fry - 3*79 <br />Fax Number: <br />71cf ) - 7 -eq - /I S"k <br />CC: STATE OR FEDERAL, LANDOWNER ifany) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />I } . <br />CC: STATL: Olt FEDERAL LANDOWNER fifany <br />� <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( ) - <br />