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p <br />t L Correspondence Information: <br />APPLICANT/OP ERATO$ (name, address, and phone of name to be used on permit) <br />Contact's Name: Edward J Settle Tide:Proiect Manager <br />Company Name: Grand Junction Concrete Pipe Co. <br />Street/P.O. Box: P.O. Box: 1849 <br />City: Grand Junction <br />State: Colorado Ziv Code: 81502 <br />-3- <br />Telephone Number. [ 970 245-9301 <br />Fax Number: ( 970 l- 243-5703 <br />PF.RMrrnN! j CONTACT (if different from applicantioperator above) <br />Contact's Name: Same as above Title: <br />Company Name: <br />Street/P.O. Box: P.O. Box: <br />City: <br />State: Zip Code: <br />Telephone Number: _) - <br />Fax Number. [ ) - <br />I NSPECTION CONTACT <br />Contact's Name: Same as above Title: <br />Company Name: <br />Street/P.O. Box: P.O. Box: <br />City: <br />State: Zip Code. <br />Telephone Number. ( ) - <br />Fax Number. ( l - <br />CC: ffM OR FEDERAL LANDOWNER ifanv) <br />Agency: <br />Streec <br />City: <br />State: <br /> <br />Telephone Number: ( ) - <br />CC:_ STATE OR FEDERAL LANQ WN if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number. ( _1- <br />Zip Code: <br />Zip Code: