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t. ,- • <br />-2- <br />9. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: sna,-a of rn, + r~ ~ <br />Company Name: ~„P,-fa rn ,.,+ , <br />Street: 401 Main Street <br />City: Walsenburg <br />State: Colorado Zip Code: 81089 <br />Area Code: ~~g Telephone: ~,R_~z~r, <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />Zip Code: <br />Telephone: <br />INSPECTION CONTACT <br />Individual's Name: SAMF <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATE OR FEDERAL LAN'DOhNER (if any) <br />Agency: N~NF <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATE OR FEDERAL LANDOWNER (if an <br />Agency: NONE __ <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br /> <br />