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-2- <br />9. Correspondence Intprmation: <br />t1PPLICANT/OPERATOR~~(--name, address, and phone of name to be used on permit}; <br />Contad'sName: ~los~s~~'r G •Jo.^~< Title: ~/~-P~~/a/~ <br />company Name: ~ c i !r : in <br />street: 7 9 20 C~n!cr~ fi~~5 r <br />City: <br />State: <br />Telephone Number: (`x~Q 1 - ~ ~{-S`- 4~5~"%9 <br />Fax Number: ( ) - P-~~~~; ~ JGC~C/'~ I-i~i l - ern. <br />(if different from applicanf/operatoYahove): <br />Individual's Name: <br />Company Name: <br />Street: <br />~~ <br />State: Zip Code: <br />Telephone Number: ( ) - <br />Fax Number: ( 1 - <br />INSPECTION CONTACTS <br />Individual's Name: ~SP~~i ~ . of SCo F~ /} . 17af/'i 5 Title: _ <br />Company Name: t <br />Street: ~ i- <br />City: ` /~_ <br />State: Zip Code: <br />Telephone Number: ( ) - <br />Fax Number: ( 1 - <br />CC: STATE OR FEDERAL LANDOWNER ('any): ,n {(~~ <br />Agency: ¢- aF'C! /'-~CJI 'U,S. FootSl-'~/`~/ice.' Foil' 7"tctf Jid~. <br />street: 3~ 2 i 9 2D rf u>y ~~~ <br />City: F~ ~ ~ P ~~ <br />State: L' a~of~ioCn Zip Code: `~ o ~ zfb <br />Telephone Number: (7/ 9 1- 8 3to ~~ D 3 l <br />CC: STATE OR FEDERAL LANDOWNER (if any): <br />Agency: <br />Street <br />City: <br />State: Zip Code: <br />Telephone Number: ( 1 - <br />