Laserfiche WebLink
pe4" STATE OF COLORADO <br /> n�irt�i.�..M r.r n^r.i Haan-,r.ai L iLi.-, n <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 COLORADO <br /> A I V I S I O N O F <br /> Denver,Colorado 80203 SO - RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX-(303)832-8106 <br /> %YtC/0 1 <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND i/lice I1�G <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION JUL 2 S 20 s <br /> ion of Reclamation. <br /> Minuic$,safety - <br /> Permit Information ! <br /> I' n <br /> A. Gi iiil l i V Uli1UL i. / �.`..�_t ' / �, +r .4 ,,,. <br /> Operation Name: Z�' y- 7--0 c <br /> Permittee Information <br /> �nnt'3t`Y}7PYCtl1l' /? G- :ti r. <br /> Company Name: <br /> Street Address: Z., C2 'tJ ,,;c,d e <br /> City: 0 _L % "•d <br /> State: ( l ' Zip: ,41 -' <br /> Phone: ( ti ) :o !�- 7 :zQ =a' <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: A /j'_ t&.c,. cpu <br /> Company Name: /(3 ,_ t, A.7"17-v' 77- <br /> Street Address: <br /> City: L yel 1. S <br /> State: �CrJ Zip: <br /> k <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />