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DMC GRM STATE OF COLORADO <br /> M-1982-020 S003 <br /> J Annual Fee/Report: CrW )SAFETY RECEIVED <br /> No ViQ lations, i s1�9 <br /> ✓ cc 440�✓e V DG Alr ti AUG 17 2017�'"" '� �`a Cv Is I ON of <br /> O R A D O <br /> SO / � n CLAMATION <br /> Denver,Colorado 80203 ►// <br /> Phone:(303)8W3567 MINING <br /> FAX:(303)832-8106 DIVISION OF RECLAMATION <br /> MINING AND SAFETY SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT A <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMA ON <br /> G� <br /> Permit Information <br /> ,� � <br /> Permit Number: ,nv\ 9V� — Q �_f� <br /> Operation Name: SO O to fR1 V ck �I Ak k�) <br /> Permittee Information <br /> Contact Person: i��� �J i ►� 1 <br /> Company Name: A S Q e� k ` � 6u F— (t J <br /> Street Address: )_ S I i\ M k A M C <br /> City: Pow k q <br /> State: C LLB(o(I^1 i /.\ Zip: <br /> Phone: (& (9 ) LO - �_ C)b <br /> Email (optional): <br /> Prospective Successor In rmation <br /> Contact Person: U I o©b AL <br /> Company Name: C <br /> Street Address: 10 S O v� � t s (O"J S (� S+ <br /> City: G' j N � �0� <br /> State: C Zip: 13 O <br /> Phone: + ' 3 5 a <br /> Email (optio al): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />