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-2- <br />7. Crresnoadence <br />.AWEAMQff&A= (name, address, and phone of name to be used on permit) <br />Lance Barker Title President <br />arke <br />Mirwral Mountain 601d, LLC <br />exatacft,Name: <br />Company Name. <br />SkOOP.O. <br />%#1!;FM <br />P.O. B Ok: <br />Ow <br />Cripple geek <br />Zip Code: <br />TeIqphoi)eNumW. <br />Colorado <br />_Zip 000. 80613 <br />Telephone Number. <br />1 689-5065- <br />OR FEDERAL <br />Fax -Number: <br />Agency <br />(it different from applit*VVerito above) <br />Street: <br />COUkas N4W:Barker <br />Title: P( d6fit, <br />Company Name: <br />Minefal MOU001n 0010,4c. <br />WWI <br />Street/P.O. Bo!.: <br />.... .. <br />P.O. Box: 247 <br />Cit ,lip <br />,Y: <br />State: Colorado <br />Telephone Numbe <br />. c <br />Zip Code.- OvO "-9. <br />Fax Number: <br />INSPECTION Olt= <br />Contacts Mime- Woe Barker _Title• president <br />Company Name: -Kiqeral Mountain Gold, ILLC <br />strect(P-0. 0OX7 P:O. Box; 247 <br />City:. <br />%#1!;FM <br />State: <br />Colorado <br />Zip Code: <br />TeIqphoi)eNumW. <br />Fax Number <br />OR FEDERAL <br />L6hMQMMM ff-4ot <br />Agency <br />Street: <br />city: <br />WWI <br />Telephone Number <br />L <br />CC: HAUTE OR UMR& <br />LOW-VAM9 Of IW <br />Agency: <br />Not Applicable <br />city. <br />State: <br />Zip Code ...... <br />TelcphoneNumbw. <br />