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14 <br /> 3 <br />• ~ <br /> - <br />- i <br />Correovondenc• informatioa: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />contact's Name:~ho~nas E Curr~ y <br />1C and f`. or aril n L. Y <br />CUrrY Title:Fami1 Co-Owners <br />Company Name: Tri County Gravel <br />street: 3569 J 75 Drive p n Anx FFF <br />City: Hotchkiss <br />State: Colorado Zip Coder 81419 <br />Telephone Number: ( q70 ) - A7~ 'i545 <br />Fax Number: ( 970 ) - 872 3792 <br />PERMITTING CONTACT ( if different from applicant/ operator above) <br />Contact's Name: Same Title: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - _ <br />Fax Number: ( ) - <br />INSPECTION CONTACT <br />Contact's Name: RAMP Title: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />Fax Number: ( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if anYl <br />Agency : NO n e <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( 1 - <br />CC: STATE OR FEDERAL LANDOWNER (if anYl <br />Agency: none <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />PaSe 'J <br />