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_2_ <br /> lo. Correspondence Information: <br /> APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br /> Indlvi.dualI s Name: Cra iQ <br /> Company Name: r&z U F-ems ln<. d6a (. torac <br /> T <br /> Street: 4411) <br /> City: C <br /> State: SD Zip Code: �S7 t -ikkU <br /> Area Code- 60'S Telephone: :3�FZ.- 122-4 <br /> PERNMIRG CONTACT (if different rrfrom applicant/operat <br /> or above) <br /> 'ILL <br /> Individua.l's Name: � �A�P2nv n�(.C., De.,b, l'Jn Yif�nWCup� wu Pd'MMI�i/ C la.x rev',W.'cr <br /> Company Name: Ctm+ga,) <br /> Street: Pc), Rc 6A <br /> City: 2g� i C <br /> State: `n7 Zip Code: S7771- O-1,(r) <br /> Area Code: to Telephone: 3�f2 7Z,-4 <br /> INSPECTIOR CONTACT <br /> indivi fbial Is Name: -1'vyn M 2=V4' la of u <br /> Company Name: Pz(p 1 c. &4n . (tic r41 C'n nt"dc I jV1. G)wtfx Ay <br /> Street: f'(') R-y 196I <br /> City: Fo rl-Col(Y n6 <br /> State: CO Zip Code: « - l4/ol <br /> Area Code: c17rD Telephone: 423'On4 <br /> CC: STATE OR FEDERAL LANDOWNER (if any) <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Area Code: Telephone: <br /> CC: STATE OR FEDERAL LANDOWNER (if any) <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Area Code: Telephone: <br />