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'vM (vt , <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 D O L O o AN of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 n MINING <br /> _&— <br /> FAX'(303)832-8106 r�' , SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information `� `�� <br /> Permit Number: f' n <br /> Operation Name: C�'-IR�L <br /> Permittee Information /� <br /> Contact Person: `�GILi fjt"al <br /> Company Name: G&0&4S-rCE S L& L;.gyt l l- �!rl:�,, c-lki ! �' GXGtU T1.Jv <br /> Street Address: ti 73 R J II°C <br /> City: 6-,P.4A!6 r��°:�;�r��.J i �Z� P <br /> State: Zip: Lt % <br /> Phone: ( qh l ) >> `194) L -1 ?,2Z cis ✓��'Y'c�'-�J r' t.t <br /> 0 <br /> Email (optional): <br /> Prospective Successor Information n 00/7 �° <br /> f -9 � <br /> ,� <br /> Contact Person: //-- 6 A)�L B <br /> Company Name: C��` lqti�Lj )Q�X L�C` <br /> Street Address: %//j/` /�/C/f(. '.'�`1 (� l_ l��- i k l•�l✓�r`� <br /> City: 6- <br /> State: Zip: <br /> Phone: ( 9'70 <br /> Email (optional): &J) 77 776 , 2b*-'z/CL iVL <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br />