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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832 -8106 <br />STATE OF COLORADO <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: -M - Z co ( - p s Q <br />Operation Name: M' (Inr m t <br />Permittee Information <br />Contact Person: _) I (" 1 1 ,.�/� I 0 0 C Y M l �. <br />Company Name: <br />0 C..T1 6 K--:) 4- P C_ <br />Street Address: to h.I )cL <br />City: Strctltn <br />State: 0 0 Zip: B o e .3 G <br />Phone: ('1 H <br />Email (optional): 010-C G r VYA LC )< < l t_ <br />Prospective Successor Information <br />Contact Person: � �� \ � , Y "-\ <br />Company Name: M `� Cti M • ( <br />Street Address" jC} �A ,c L <br />City: C'\ <br />L-LS <br />COLORADO <br />D IV IS I ON Of <br />RECLAMATION <br />MINING <br />SAFETY <br />S(0 0Z <br />State: C` C z <br />Phone: OW-) 3E, '7� J ll/ o <br />Email (optional): AMC -UC V M L C A. A c C c�4� e � y L� !?�L�S7 0( 0 8 2014 <br />Office of Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango Active and <br />Inactive Mines ` � <br />