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-3- <br />11. Corresoondtoee faf ormatbn: <br />APPL[CANT~OPERATUR (name, address, end ph <br />one oC name to be used on permit) <br />Contact's Name: _ <br />!~\~L-F1ll0\SoN Titk: ~Y2-~s~oFN'T <br />Company Name: ~ t-c n~a.oc~ SIP-RA~r= '~-n~~ <br />Street/P.O.Bmc: ~-~' '-~+~4N~1cP.-~A~- Prdl?-~~9 .-~•1~~, <br />City: CA0.~~25~ t Li-1c . <br />State: L-\ECR{z~ A 7.ip Code : 3C 121 <br />Tekpbatte Number: ( ~~-O 1- (oD~ - 3341 <br /> <br />Fax Number. ( ~~C 1- Lam-`-~ ~ 33A-[.> <br />PERMITTING CQNTACT amUoperatorebove) <br />(if different from appli <br />c <br />C~tact'sNatne: \ <br />, <br />BoP~ 1'tD11s~tiA~ Title: ~i~S~OFNI <br />CompmyName: 1"~ot+~t2-ui ~IOUNT0.tr1 rnRt>~_f ~n MP.nN'~ <br />StmtlP.O. Box: P.O. Box: 'fL Qi <br />City: SAH D A <br />State: ~~o ~T~E7 Zip Code : 17{7) <br />Tekphone Number: ( ~ 1 ~ ) - 5~ - 113-3 <br />FaxNamber: r ~+9 1- s~ - 114 <br />QJSPECTION CONTACT <br /> <br />Contact'sNmne: <br />~~.~b,~{~.nWRVi <br />Title: p <br />CQ.~t(~E'-N'T <br />Company Name: --,,nn <br />1l\orelaD-~yi '~eu~TP\I`I MN'-Bt.. ~ ~Ol~\P AN~ <br /> <br />Slrea/P.O. Box: P.O. Box : Z.~~ <br />City: ~-Ytl-~ DA <br />Store: ~s9~c~tr.-/a,Do Z;p Code: '~\~ I <br />Telephone Nunber: (( 1 Y `~ 1`~J 1. 'S>>~ - l 133 <br />Fsc Number. ( .~'19 1- 5~ 1 1 ~ l}- <br />CC: STATE OR FIDERAL LAN[XIWNER (if anY] <br />Agency: \~~S An~~,TI~N : til •.sUlr~~-L <br />sweet: 32 ~ W Rp»>v tx .. `13T~f i) <br />City: ~-i!<>_~ D R <br />State: C~-Oe/'`pn Zip Code: f~ 1201 <br />'Tetepho:wx Number: ~'\ - S~~ ~~ 1 <br />CC: STATE OR FEDERAL LANDOWNER (if etrvl <br />Agency: <br />Sveet <br />CiR: <br />State: <br />Telephone Number: <br />Zip Cade: <br />