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-2- <br /> II. ADMINISTRATIVE INFORMATION: <br /> 1. Permit Number: -:71 a 17 0,2 7 <br /> 2. Operation Name: �? Cqc,.� e L L <br /> 3. Current Permitted Operator: I r(' <br /> T T_ <br /> Contact Person: J 4��c' C+_ Y'{:-� <br /> Company Name: �� C- ►n y f'- l ! .+ 'C . <br /> Street: 7� I I`1 oo Rd <br /> City: <br /> State: G Zip Code: <br /> Area Code: 7 Telephone: <br /> 4. Successor Operator: <br /> Contact Person: �f�a✓��L(r `��'• <br /> Company Name: c_J P.r ' <br /> Street: / U MTh S 71;e e <br /> � y T <br /> City: ( !�t �{'il �.J Lf-x c, i �� y� <br /> State: c y Zip Code: I <br /> Area Code: zo Telephone: <br /> IRS Tax ID No.or Social Security No.: S l S3 16 0 E7 <br /> 5. Application Fee: $115.00 for Hard Rock operations;$144.00 for Construction Materials operations <br /> Make check payable to the Division of Reclamation,Mining and Safety <br />