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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 o O L OI RA D O <br /> Denver,Colorado 80203 SEP 12 ?010 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX-(303)832-8106 DIVISION OF RECLAMATION —&— <br /> MINING AND SAFETY SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: m " Z <br /> Operation Name: ►�chl�Gl( jai <br /> Permittee Information <br /> Contact Person: <br /> Company Name: i <br /> Street Address: <br /> City: <br /> fMv"ge <br /> State: Zip:: 901 <br /> Phone: ( 0 ) ��'}� " �✓ 9 0 <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: 1�1 inn r <br /> Company Name: rn A de KIca <br /> Street Address: <br /> City: ay <br /> State: VV Zip: <br /> Phone: 10 ) W- w 4 <br /> Email (optional): rye �¢� �i✓Q��i M 0161 616hl• Z1041 <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />