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-3- <br />11. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: -00 ?.. %rAjC k&-c Title: S??ves : n?enc)E?n? <br />Company Name: , }?? Gu le c. ??? lyaac .e? q. L. L . L . p, <br />Street/P.O. Box: P.O. Box: 5 $o <br />City: <br />State: C c io.- Ac, Zip Code: 100 <br />Telephone Number: 'N0% - 3385 <br />Fax Number: -l 1`i aato? <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Contact's Name: Title: <br />Company Name: <br />Street/P.O. Box: P.O. Box: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: ( ) - <br />Fax Number: ( ) - <br />INSPECTION CONTACT <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Zip Code: '9100 <br />Telephone Number: ( ?1 `-A <br />Fax Number: ( 7 i <br />CC: STATE OR FEDERAL LANDOWNER (if any <br />Agency: <br />Street: <br />City: <br />State: <br />? <br />l_-c Title: S?r..e::•??cvy?e?ti'? <br />GC1S}t't'J? CcAy''. [ r+ A /l= eA&,. Q. L . L . L. k <br />P.O. Box: <br />Zip Code: <br />Telephone Number: ( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if an)) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: ( ) -