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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 COLORADO OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone (303)866-3567 MINING <br /> FAX.(303)832-8106 .03 —St— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS RECEIVED <br /> ADMINISTRATIVE INFORMATION OCT 1 9 2017 <br /> DMSION OF RECLAMATION <br /> � <br /> MINING AND SAFETY <br /> Permit Informationn /r/ /a,/ <br /> Permit Number: / " l l _ 2 7 IP (, ��Le,,2(01 7 <br /> Operation Name: L 5 U 4- <br /> Permittee Information <br /> Contact Person: R4,,5 ly y <br /> Company Name: l 4/f g n f•Crtp/'i S'Street Address:Address: // 3$ C 7 0 <br /> City: C C`ct i y <br /> State: C 0 Zip: 2! 6 2 S <br /> Phone: 70 ) b L 5 7 7 <br /> Email (optional): <br /> Prospective Successor IInformation <br /> Contact Person: R;G11G0-d e_goweLiC / (- <br /> Company Name: Bovkber B rn•{'IrkerS.._e4 S,fYVtc- i 0' Stu.- r rt u'- <br /> Street Address: �Jr1 S --Guntur - <br /> City: Cxaia <br /> State: C O Zip: <br /> Phone: (.9'10 ) golt4- 0?1M 3 <br /> Email (optional): bow+r\j►roseyY„I S ,(,,vm <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />