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l <br /> STATE OF COLORADO <br /> DIVISION OF RECAAMATION,MINING AND SAFETY }� <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 DIVISIONt;RECLAMATION <br /> of <br /> Denver.Colorado 80203 <br /> Phone:(303)866-3567 �D <br /> FAX:(303)832-8106 SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION RECEIVED <br /> MAR 0 2017 <br /> Permit Information <br /> bivision of Reclamation, <br /> Permit Number; ��>> - �� `� —G�`� Minintg&Safety <br /> Operation Name: I _jf— <br /> Permittee Information / �! <br /> Contact Person: , i,(, I ic, SV I C K <br /> Company Name: I on e e-r- <br /> Street Address: SCC <br /> City: <br /> State: U Zip: / ! <br /> Phone: 06 <br /> Email(optional): i c)V1 e e w,S4wJ C 11,E G <br /> � -q <br /> Prospective Successor Information `/ , ,OPP rou?ict <br /> Contact Person: t+�r '�ly"Ar, <br /> Company Name: n-kt--km' i' 1-"e_�{ l�� v n� ✓j 4"p. 1411 <br /> Street Address: I ZCG c - Sfi. C �-'�,� !(�,(�: °ln'U 12, <br /> 30 <br /> City: Crc.t I� <br /> State: Zip: ( (U <br /> Phone: ¢ — `- <br /> Email (optional): <br /> Office of office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />