2014-04-04_PERMIT FILE - M2014017

• Permit No: M2014017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/4/2014
• Doc Name: Application
• From: Mark Krivanek
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

NOTICE OF INTEN TO CONDUCT PROSPECTING OPERATIONS FOR
HARD ROCK/METAL MINES ON THE
PSICC / SALIDA RANGER DISTRICT
MINING CLAIMANT) INFORMATION
Name:
Address:
City: -)--., _j I t z-
State: 20 Zip Code: ri 12
Phone Number: 7 / 9 .S -�S 9 ?Y53
Other Contact Information (e.g. email address, cell phone, FAX u& M ti A k
�? c 3v tzs
J"K 7lg �j30 Q'F5s'7
Name:
Address:
City:
State:
Phone Number:
Zip Code:
Other Contact Information (e.g. email address, cell phone, FAX #)-
2. SITE /CLAIM INFORMATION
List names, serial numbers, and provide legal descriptions to the nearest quarter- quarter Section of all
sites or claims you will be conducting your activities (attach additional pages if necessary).
CLAIM NAME SERIAL NUMBER LEGAL DESCRIPTION