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- 3 - <br />la <br />APPLICANT/OPEFLATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Robert & Dorothy Goode Title: owners <br />Company Name: B 8 D Trucking <br />Street: 62477 Jade Road <br />city: Montrose <br />State: Colorado Zip Code: 81401 <br />Telephone Number: ( 970 ~ _249-2865 <br />Fax Number: ~ 970 ~ _ 249-2041 <br />ocaMiTTING CONTACT lif different from applicant/operator above) <br />Individual's Name: same as above Title: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: L 1 - <br />Fax Number: 1 - <br />INSPECTION CONTACT <br />Individual's Name: Same aS above <br />Company Name: <br />Stzeet: <br />City: <br />State: Zip Code: <br />Telephone Number: 1 ~ - <br />Fax Number: ( 1 - <br />CC: STATE OR F -0" A .aNDOWN.R (i anvl <br />Agency: NONE <br />Stzeet: <br />City: <br />State: Zip Code: <br />Telephone Number: ( 1 - <br />~"C: STATE OR F£~FRnr TaNmp7NER !if ~v1 <br />Agency: NONE <br />Street: <br />city: <br />State: Zip Code: <br />Telephone Number: ( 1 - <br />