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-3- <br />11. Correspondence Information: <br />APPLICANVOPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Jesse ShaCktKK= Title: Road Supervissor <br />Company Name: Washington County Road & Bridge District 2 <br />Street/P.O. Box: 501 4th Ave. P.O. Box: <br />City: Otis <br />State: CO. Zip Code: 80743 <br />Telephone Number: (970 1-246-3347 <br />Fax Number: (970 ) _ 246-3347 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Contact's Name: Jesse Stackhouse Title: Road Supervisor <br />Company Name: Washington County Road & Bridge District 2 <br />Street/P.O. Box: 501 4th Ave. P.O. Box: <br />City: Otis <br />State: CO. Zip Code: 80743 <br />Telephone Number: J970 _ 246-3347 <br />Fax Number: (970 ) _ 246-3347 <br />INSPECTION CONTACT <br />Contact's Name: Jesse Stackhouse Title: Road Supervisor <br />Company Name: Washington County Road & Bridge District 2 <br />Street/P.O. Box: 501 4th Ave. P.O. Box: <br />City: Otis <br />State: CO. Zip Code: 80743 <br />Telephone Number: (970 ) _ 246-3347 <br />Fax Number: (970 ) _ 246-3347 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: State of Colorado Department of Natural Resources <br />Street: 1313 Sherman St. Room 261 <br />City: Denver <br />State: CO. Zip Code: 80203 <br />Telephone Number: (303 ) _ 866-3454 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) - <br />3