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9/4/251 9:18 AM Message Start Event <br /> Contact Information <br /> Here is the contact information we have on file for this permit. If any of it is inaccurate, you will have the <br /> opportunity to correct it after this form has been submitted. <br /> 1. Upon submission of this form you will be presented with a link to the contact information update <br /> form. <br /> 2. There is a question asking about the accuracy of this information at the bottom of this page. <br /> Indicating that it is inaccurate will send an e-mail to notify your administrator to make the <br /> appropriate changes. <br /> Permittee Contact Information <br /> Permittee Contact Name <br /> Dan Miller <br /> Permittee Company <br /> Moffat County <br /> Permittee Address 1 <br /> P.O. Box 667 <br /> Permittee Address 2 <br /> Permittee City Permittee State Permittee Zip <br /> Craig CO 815260000 <br /> Permittee Phone # Permittee Fax # <br /> 9708242311 9708240356 <br /> Permittee Contact Email Address <br /> dmiller@moffatcounty.net <br /> Permitting Contact Info <br /> Permitting Contact Name <br /> Denise Baptist <br /> https://dnrlaserfiche.state.co.us/Forms/form/submission/history/l12229/119060?hideHeader=true&showlnstanceDetails=false&frominstances=true 3/10 <br />