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STATE OF COLORADO <br />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 />JO - <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />Permit Number: <br />Operation Name: <br />ADMINISTRATIVE INFORMATION <br />1M- )997- 01aS- <br />13Rl7WNSTWVL t) /9 -ay <br />Permittee Information <br />Contact Person: <br />Company Name: <br />Street Address: <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />DEC 0 4 2015 <br />✓J Ci`'t(-)L1 icy <br />t ,t inion of Reclamation, <br />Mining & Safety <br />JT STRIGG-DId <br />S vt W <br />(l7) 7 3i y ViFw DRIvI <br />City: FPR! CoCA-A.IS <br />State: CO Zip: » 5 2 (p <br />Phone: (9 7 9) 2 21 --) R 3 2 <br />Email (optional): S -y[ I G.6.0 +SIR D CIC S EF/ n C D /YL <br />pt <br />`-/ Oita( <br />l,l,a/" <br />rN;,l F <br />q (4 1-7,747 <br />Prospective Successor Information <br />Contact Person: <br />Company Name: <br />Street Address: <br />m 5Ti I 1;6-0 tic/ <br />L I C <br />�/ 7 )3/y D./we. <br />City: Fv p -r- C Qu- A/1 <br />State: CV , Zip: $2- 4 <br />Phone: ( 71)) 2-a) -) 3Z <br />Email (optional): ,5)1 JE) C-6-0 RtXCK S I <br />Fk)) , COM <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />Denver • Grand Junction • Durango <br />Office of <br />Active and <br />