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- 3 - <br />14. Correspondence Information: <br />APPLICANT'(OPERATOR {name; address and phone ofname to be used an permit) <br />Contact's Name: PE'f~ c~tE6Mt1ND Title: tltea^ PQ~stac~- <br />CompanyName: ©t-bGNSTt,E SCJ (G@Ut9P7lNC. DBE} uui'>~D CE1MpA+~IES DF M1=5A CeU~AIry <br />Street/P.O.Box: ~2'Z,R Rbyse 9~0 ; P,fl.3C)x P.O.Box: 3C4J9 <br />city: ~te~Na ~TuNe-r,aa <br />State: LSD Zip Code: SIeS'17 `~ <br />Telephoneldumber: I 470 )- X513 - yY00 <br />Fax Number: ! Q y~ - ~3 ' cl 9y <br />PERMITTING CONTACT (if different from applicanUoperatornbove) <br />Contact'slvTame: ~/cte~(e~ ~Ul~'yC'~ Title: ~iC//tf"IPRL <br />CompauyName: CV~ ~ELd6 ° l' ~ ~~'?Jr47E.S <br />street/P.o. Box: //u'"H! u~Ale/21N67'aN Cpd~e3" P.o. Box: <br />City: /~/aI~E~^ <br />Sate: G'© Zip Code: 3©/~3 S <br />Telephone Number: ( ~D~ - ~'f'6 ~J 14b <br />Fax Number: ( 3D3 ) - 3K6 693y <br />INSPECTION CONTACT <br />ContacPs Name: ~k"7E ~E(,~[4UAL.~ Title:_ <br />Company Name: ~QS /7'dFJtlt/ <br />Street/P.O. Box: P.O. Box: <br />City: <br />State: Zip Cale: <br />Telephone Number: { ) _ <br />Fax Number: ( ) - <br />CC: STATE OR FEDERAL LANDOWNERlifan ) <br />Agency: A141,l~ <br />Street: <br />City: <br />State: Zip Code:. <br />Telephone Number. ( ~ - <br />CC: STATEORFIDERALLANDOWNER(ifa~ <br />Agency: AI91J~ <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: ( ) - <br />