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-2- <br /> 11. Correspondence Information: <br /> APPLICANT/OPERATOR (name,address,and phone of name to be used on permit) <br /> Contact's Name: At c Title: (V I't,e <br /> Company Name: <br /> Street(P.O.Box: t P.O.Box: ,P z 5- <br /> City: <br /> State: 0 Zip Code: 91 <br /> Telephone Number. ( 7/R' <br /> Fax Number. ( 714 )- 71 21 :3 6 <br /> PERMITTING CONTACT (if different from applicant/operator above) <br /> Contact's Name: E:d LY �h_5 Title: d WYVl1- <br /> Com an Name: M 1/ V <br /> Street/P.O.Box: 2 7 S! C LY �! d P.O.Box: <br /> City: yvtc-`1 L Iste <br /> State: / o Zip Code: <br /> Telephone Number. 371 — Di <br /> Fax Number. (? t� 1- 71 7 S"3 <br /> INSPECTION CONTACT <br /> Contact's Name: !.V D A S Title: L'N/ 'IA <br /> Company Name: L V/}TtT<F P <br /> Street/P.O.Box: 7;� }� l P.O.Box: 7 �� <br /> City: i�1�ll01b k 61di o <br /> State: V YV Zip Code: 173) <br /> Telephone Number 71 C( - 7-&3 j 3 S- <br /> Fax Number: -71 q <br /> CC: STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: fa LM ' 1 , -,C . <br /> Street: + <br /> City: nn <br /> State: ( "V Zip Code: S.�- <br /> Telephone Number: _!4 --j- <br /> CC: STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( )- <br />