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-3- <br />11. Correspondence Information: <br />APPLICANT /OPERATOR <br />(name, address, and phone of name to be used on permit) <br />Contact's Name: <br />Tony COnnElli <br />Company Name: <br />Connell Resources, Inc. <br />Street/P.O. Box: <br />7785 Highland Meadows Parkway, Suite 100 <br />City: <br />Fort Collins <br />State: <br />Colorado <br />Telephone Number: <br />( 970 ) _ 870 -0200 <br />Fax Number: <br />( 970 ) _ 870 -0290 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />City: <br />State: <br />Telephone Number: <br />( ) <br />Fax Number: <br />( ) - <br />INSPECTION CONTACT <br />Contact's Name: <br />Tony Connell <br />Company Name: <br />Connell Resources, Inc. <br />Street/P.O. Box: <br />7785 Highland Meadows Parkway, Suite 100 <br />City: <br />Fort Collins <br />State: <br />Colorado <br />Telephone Number: <br />( 970 ) _ 870 -0200 <br />Fax Number: <br />( 970 ) _ 870 -0290 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />None <br />Street: <br />City: <br />State: <br />Telephone Number: <br />( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any <br />Agency: <br />None <br />Street: <br />City: <br />State: <br />Telephone Number: <br />Title: Vice President <br />P.O. Box: <br />Zip Code: 80528 <br />Title: <br />P.O. Box: <br />Zip Code: <br />Title: Vice President <br />P.O. Box: PO Box 1180 <br />Zip Code: 80528 <br />Zip Code: <br />Zip Code: <br />