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10. Correspondence Information: <br />APPLICANT /OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />PERMITTING CONTACT (if different from applicant /operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />- 2 - <br />Zip Code: <br />Telephone: <br />INSPECTION CONTACT <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />