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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> Den Sherman St,Room 215 COLORADO <br /> DIVISION <br /> I V AMATIO F <br /> Denver,Colorado 80203 OCT1,I <br /> Phone:(303)866-3567 2 12016 MINING <br /> FAX:(303)832-8106 <br /> DIVISION OF RECLAMATION SAFETY <br /> APPLICATION FORM ING&SAFETY <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: }(- i q9 L{- 05 <br /> Operation Name: _?v Q a Li c'1-C l V'r l R' 1 <br /> m'1 .ls1e`. �_ <br /> Permittee Information <br /> Contact Person: <br /> Company Name: <br /> Street Address: <br /> I `.E ED <br /> City: �b v'►ty+b5�e <br /> State:—Co i Ma"C n zip: 8 1�U�_ OCT 21 2016 <br /> Phone: yet_-Sj(a I I ivision of Reclamation, <br /> Email(optional): Mining& Safety <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: ROA <br /> Street Address: a C)G(,C:) 4L.0y 55n <br /> City: m ts"�-Vt)Sze <br /> State: _ 116�OYCL(-% zip: <br /> Phone: ( 97n ) <br /> Email(optional): <br /> Office of Office of <br /> Mined land Redamadw Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />