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2 <br />10. Correspondence Intormadoa: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: ~rnnlrlt"n Mtflvr Title:~,Sy f~n•cide.,+~0~rre~tion$ <br />Company Name: ~cGio~en faJ f~i ! S~IQ.I r r 2'nc <br />StreeUP.O.Box: 24570 Fpr~F~~~. Drive_iS~l+~ 30o P.O.Box: J <br />City: C.~e ' <br />State: Zip Code: 4~5 pJ <br />Area Code: ( fY59 1 Tekphoae: 5'~3 - Z! 5 4 <br />Fax Number. ( QS ~j ) Telephone: SN3 - Z / a'1 <br />PERMITTING CONTACT (if different from applicanVopcrator above) <br />Individual's Name: Title: <br />Company Name: <br />StreeVP.O. Box: <br />City: <br />State: Zip Code: <br />Area Code: { ) Telephone <br />Fax Number: { ~ Telephone: <br />INSPECTION CONTACT <br />Individual's Name: Qruce. shni`w 1 Tide:'„ ;~rnar InoiyF <br /> <br />Company Name: <br />" \n~pa4-rx~~o i <br />~f~ I a. <br />+.1 ~ "Tyre <br />StreeUP.O.Box: ~r1-3 1-Fn~~r~ l'.~.,rf 5 Su:~1-e 330 <br />City: ~mn~ 7~n {~pvs <br />State: Colnrarlo Zip Code: Sy150Ia <br />Area Code: ( 9 ~G ) Telephone: Z¢ Z-O I fi0 <br />Fax Number. (ll3'O 1 Telephone: Zcl2 - 0 2'a-C~ <br />CC: STATE OR FEDERAL LANDOWNER (if aavl <br />Agency: L7l.f.Y'[n~. B~ ~ LLlt1.l h /~asnaormesna- <br />Strcet: 2815 }~ Ro ams <br />City: l~r~~ 111 VI/` ~'1nN <br />State: Ca lorado Zip Code: f1156ra <br />Area Code: ( 9 ~ 1 Telephone: Z'F~f - 303 <br />CC: STATE OR FEDERAL LANDOWNER (i[ an <br />Agency: <br />Street: <br />City: <br />State: <br />Area Code: <br />c aiorn~o aipwaa a~ ~au< <br />{ 9 Srp 1 Telephone: 9~f ~ - ZSA[) <br />