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- 3 - <br /> 14. Correspondence Information: <br /> APPLICANTIOPERATOR (name,address,and phone of name to be ysed on permit) <br /> Contact's Name: {PL-Vr, c r) r, j(', Title: GAcr <br /> Company Name: <br /> Street: �� /.fin K �COLI S fer yT <br /> City: Lvov, <br /> State: ry � C / Zip Code: <br /> Telephone Number. <br /> Fax Number: <br /> PERMITTING CONTACT (if different from applicant/o eratorr,aJ�ove) <br /> Individual's Name: `i�a �� /N d 117f G Title: <br /> Company Name: � <br /> Street: <br /> City: U <br /> State: Zip Code: <br /> Telephone Number: ( <br /> Fax Number: � 011- <br /> IIVSPECTiON-CONTACT — - - - <br /> Individual's Name: e— Title: <br /> Company Name: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: L-1- <br /> Fax Number: ��- <br /> CC: STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: AJ A <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: <br /> CC STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: /A <br /> Street: <br /> City: <br /> Statc: Zip Code: <br /> Telephone Number: ( )- <br />