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-2- <br /> 9. Corresuondence Information: <br /> APPLICANT/OPERATOR (name,address,and phone of name to be used on permit): <br /> Contact's Name: QA r a 4 . a, s 4 Title: d w,Ut r <br /> Company Name: _�,t f / :Lt " j a <br /> Street: 1 E'4 9 Tr. ' 1 /',-"�K 2d P.O.Box: <br /> City: L A &4 <br /> State: e 16 r a 4,0 Zip Code: a'02!,9 7 <br /> Telephone Number: 1 77/ q 1 - 3 7 <br /> Fax Number: 1 ) -t7a '� Q g A ^S 4 C <br /> PERMITTING CONTACT (if different from applicant/operator above): <br /> Contact's Name: i nj n/ o f.4 f. Q+n.S f Title: <br /> Company Name: <br /> Street: 191Y -'r a, r r-C k $R to, P.O.Box: <br /> City: G e or 2 t- <br /> State: L' e /e / e r a a<a Zip Code: 8 0 8,2 7 <br /> Telephone Number. 1 Al 3 S Z - 9'7 9 - /q 74- <br /> Fax Number s't-MA <br /> INSPECTION CONTACT: <br /> Contact's Name: Gam; Title: a w.,.e r <br /> Company Name: <br /> Street: l 8"Y q Tr r / C r.,,t l2 d P.O.Box: <br /> City: 4,1e—, <br /> State: C 6/o r $.d a Zip Code: 8'X'7 <br /> Telephone Number: -7/9 1 - 33 7 " .2 0 G n <br /> Fax Number. 1 ) - <br /> CC: STATE OR FEDERAL LANDONEWR(if any): Q l r 11 / n } <br /> Agency ) IIA FOr eSI� Str V i Q ► �� A'T �Oalo� YnrtST ,sdet P"rk 1Ctinwe/ ��.SYric f' <br /> Street: 0.i a g S P-Q, Bey, rd 19 <br /> City: I^a; 7o In <br /> State: "Lof a Zip Code: rd'Y Al 6 <br /> Telephone Number. 7/9 <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: 1 ) - <br />