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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> C O <br /> 1313 Sherman St.,Room 215 1 :44 <br /> RADO <br /> Denver,Colorado 80203 (J RED IV MATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> RECEIVED <br /> Permit Information o JUN 16 2016 <br /> Permit Number: �ef 4'a <br /> Operation Name: KU-LAA G121gVG L <br /> Permittee Information <br /> Contact Person: N w+_k;Cx. k . <br /> Company Name: fdil LA--Ck& G "C,2 6W� &JPW4 5C,fn <br /> Street Address: � id�� t y-<_, <br /> City: Coa 1 (fol h S <br /> State: 0-C) Zip: goss p <br /> Phone: ( 72.a ) 3 C>3 - 9/odd / <br /> Email (optional): S Ch-s) , i (6) <br /> Prospective Successor Information Q/ (� <br /> Contact Person: iL(LL <br /> Company Name: f2-�Ctl2g f�� L <br /> Street Address: <br /> City: �p jp�'q Q t_1 <br /> State: Zip: Lb 70 <br /> Phone: <br /> Email(optional): 1'� e t' �� m i f Sbf'0.V,� , �'-p w• <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />