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• • 392439 08/06/ 0 32: 8803 P48 APP <br />4 of 32 R 0.00 D 0.00 Elbor! County CO <br />- 3 - <br />14. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone (off name to be used on permit) <br />Contact', Name: 1_ w/a~; P d-' e h ,R ~i Title: L ~ct„rl,t,,,l„ ~ O C L <br />Company Name: F I~ e J2 T LO .~ i v <br />Street: 1.1 ~ / n AA to L li 2 5 i <br />Cln': K 1 O v t• <br />State: L a Zip Code: 8 0 1 1 7 <br />Telepbone Number: (3 0 3 1- 6 11 3 1 3 2 <br />Fax Number: (3 o z 1- L E I 3 6 6 6 <br />PERMITTING CONTACT (if differrnt from applicant/operator above) <br />Contact's Name: <br />Compan}' Name: <br />SUeet: <br />Title: <br />City: <br />State: Zip Cade: <br />Telephooe Number: ( 1- <br />Fax Number: ( ) - <br />INSPECTION CONTACT -~ ~ b (~ ~~~ <br />Contact's Name: Title: <br />Company Name: t l V3 e t2 i C /I a vt i `L <br />Street: ~ t S' r„ .In ~ H r-L e s <br />City: K, n wa <br />State: L U Zip Code: g o, t 7 <br />Telephoue Number: ( 3 0 7 1- G a- 1~ 31 5 ~{ <br />Fax Number: ( 3 0 3 1- 6~ 1 - Z I S `~ <br />CC: STATE OR FEDERAL LANDOWNER (if env) <br />Agency: iV/A. <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( 1- <br />CC: STATF OR FEDERAL LANDOWNER (if any] <br />Agency: Ai/~4 <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />