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fi6surpa <br />M <br />p'a > <br />Tax Parcel # (if known) <br />— = <br />US Army Corps <br />931736 <br />WASHINGTON STATE DstrictSL <br />Hutchinson Properties, LLC <br />Seattle <br />Joint Aquatic Resources Permit <br />Application (JARPA) bgio <br />Attachment C: <br />Contact information for adjoining <br />property owners. mm <br />Use this attachment only if you have more than four adjoining <br />property owners. <br />Use black or blue ink to enter answers in whites aces below <br />--------------- <br />AGENCY USE ONLY t <br />t t <br />t t <br />t i <br />t t <br />Date received: . <br />t t <br />t t <br />t t <br />t <br />t t <br />t , <br />t <br />Agency reference #: <br />t t <br />Tax Parcel #(s): <br />t t <br />t t <br />t <br />t , <br />t , <br />t TO BE COMPLETED BY APPLICANT h[ 9.1W <br />t � <br />t � <br />t <br />t <br />Project Name: <br />Location Name (if applicable): <br />t <br />t <br />t <br />t <br />1. Contact information for all adjoining property owners.hLelp_] <br />Name <br />Mailing Address <br />Tax Parcel # (if known) <br />BNSF Railroad Company <br />PO Box 961089 <br />931736 <br />Fort Work, TX 76161-0089 <br />Hutchinson Properties, LLC <br />PO Box 938 <br />261033, 957561 <br />Ellensburg, WA 98926 <br />Belsaas & Smith Construction, <br />Inc. <br />PO Box 926 <br />631033 <br />Ellensburg, WA 98926 <br />Pautzke Bait Company, Inc. <br />PO Box 36 <br />265736 <br />Ellensburg, WA 98920-1909 <br />JSKS Inc <br />1608 Highway 97 <br />17337 <br />Ellensburg, WA 98926 <br />Triple L LLC <br />4815 Road 6.5 NE <br />529333, 1664 <br />Moses Lake, WA 98837 <br />Granite Construction Company <br />2119 Highway 97 <br />559333 <br />Ellensburg, WA 98926 <br />If you require this document in another format, contact the Governor's Office for Regulatory Innovation and Assistance (ORIA) at <br />(800) 917-0043. People with hearing loss can call 711 for Washington Relay Service. People with a speech disability can call (877) <br />833-6341 ORIA publication number ORIA-16-014 rev. 10/2016 <br />JARPA Attachment C Rev. 10/2016 Page 1 of 1 <br />