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~~ <br />- 3 - <br />14. Corresooodenee Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />ContacPsName: 1111tNAE~ + t_EoNARD LO4uonIEN <br /> <br />Company Name: LoytwNerJ BRoS Ston1E <br />S:: e.:: 12go1 3 nl Foot el it. t,5 NWY <br />Ciry: LONG MoN r <br />grate: Co LO R,n 00 Zip Code: 80 503 <br />Telephone Number: 30 - ~ 2 3 - G 2 G, 8 <br />Fax Number:( .03 1- 813 - ~ A4 3 <br />PERMiTT1NG CONTACT (if ditTerent from applicanUoperator above) <br />Individual's Name: YY1 ~L H tv E L 1_oL. scoN E,J Title: G m / V P <br />Company Name: LouteorJEN 6R0S. Sioti1E <br /> <br />Street: 1 z9 9 3 N- Foot H I t_LS H W 7 <br />City: W N 6 MO+t1 T <br /> <br />State: Go w R-A o o Zip Code: 8050 5 <br />Telephone Number: 3l ~?3 1- 823 - coZGB <br />Fax Number: ( 303 1- ,R23 - OS:/9'~ <br />INSPECTION CONTACT <br />Individual's Name: SArn F_ AS /~ Rn JE Title: <br />Company Name: <br />Street: <br />City: <br />State: <br />Telephone Number: L_~- <br />Zip Code: <br />CC: STATE OR FEDERAL LANDOWNER (ifanvl <br />Agency: <br />Sveet: <br />City: <br />State: <br />Telephone Number: ~~- <br />Zip Code: <br />CC: STAT£ OR FEDERAL LANDOWNER (ifanvl <br />Agency: <br />Street: <br />Citv: <br />State: Zip Code: <br />Telephone Number: ( 1 - <br />