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• ~ ~ • <br />- 3 - <br />14. Correpoodeoce Information: <br />APPLICANT/OPERATOR (name, address, and phone ofname to be used on permit) <br />Contact's Name: Mike Splitter Title: Road Foreman <br />Company Name: Kiowa County <br />Street: _ 1"i05 Goff Street <br />Ciry: Eads <br />State: CO Zip Code: 81036 <br />Telephone Number: ( 719 l - ~8-5810 <br />Fax Number: ( 719 1- 438-5327 <br />PERMITTING CONTACT (ifdifferent from applicant/operator above) <br />Individual's Name: Karen Krueger Title: Administrator <br />Company Name: xi nwa County <br />Street: 1305 Goff Street <br />Ciry: F rlc - - - <br />State: CO Zip Code: 81036 <br />Telephone Number: ( 719 )- 438-5810 <br />Fax Number: ( 719 ) 438-5327 <br />fNSPECTION CONTACT <br />lndividual's Name: M; ke Snl; tter Title: Road Foreman <br />Company Name: <br />Street: <br />Ciry: <br />State: <br />Telephone Number: <br />Fax Number: <br />Zip Code: <br />CC: STATE OR FEDERAL LANDOWNER (if anvl <br />Agency: <br />Street: <br />Cit}': <br />State: <br />Telephone Number: <br />Zip Code: <br />CC: STATE OR FEDERAL LANDOWNER (if anvl <br />Agency: <br />Street: <br />Ciry: <br />Stale: <br />Zip Code: <br />Telephone Number <br />