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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MIN""- <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 USPS Prioritv Tracking p IV IS O L Oi o N OF <br /> DO <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 9410 8102 0088 2969 6710 07 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND "Celyeo <br /> -,LytC2�1-1 <br /> SUCCESSION OF OPERATORS <br /> FEB 1 3 Zo 9 i <br /> a� of <br /> ADMINISTRATIVE INFORMATION �'� A D�L4*770M <br /> SAFELY <br /> 0 3 <br /> Permit Information 93 1 <br /> nn o _, 0 <br /> Permit Number: m- o�� — ��� .i <br /> Operation Name: <br /> p ���� <br /> CA <br /> Permittee Information <br /> C�. <br /> Contact Person: <br /> Company Name: ICKI-t4- (ZP�- �St <br /> Street Address: Ur + <br /> City: D�yYp� <br /> 0 <br /> State: cc Zip: L o Iv, <br /> G <br /> Phone: ( i i <br /> ���' ) �O <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: fY\ju','k (2QjCE< cep'oEL. , Lkr— • Axa— /a/.,-1-lf'f <br /> Street Address: CUbC'--) '�pt�-C::-} WEST �&-E-Y . ✓ �rJ- Nfi <br /> City: LJL3 j() AKA "�CL�— 4 Min_Tvt E =a 170 <br /> State: C-NC"-j Zip: 18101R-�s <br /> Phone: ("'I lq 1'6-7 <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />