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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 C O L O R A D O <br /> Denver,Colorado <br /> Phone:(303)866-3567 p I V I S ION O F <br /> 3567 RECLAMATIONMINING <br /> FAX:(303)832-8106 <br /> 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-1977-376 <br /> Operation Name: Canon Dolomite Quarry <br /> Permittee Information <br /> Contact Person: Paul Ainsworth <br /> Company Name: Continental Materials Corporation <br /> Street Address: 440 S. LaSalle St. #3100 <br /> City: Chicago <br /> State: Illinois Zip: 60605 <br /> Phone: ( 312 ) 541-7222 <br /> Email (optional): Paul Ainsworth@Contmtl.com <br /> Prospective Successor Information <br /> Contact Person: Daniel Tezak <br /> Company Name: Canon Dolomite Quarry, LLC <br /> Street Address: 205 Tunnel Drive <br /> city: Canon City <br /> State: Colorado Zip: 81212 <br /> Phone: ( 719 ) 269-1173 <br /> Email (optional): dtezak@tezakheavyequipment.com <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br />