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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources RE'- <br /> ---� <br /> 1Z D <br /> 1313 Sherman St.,Room 215 u O L O1 o N of <br /> Denver,Colorado 80203 FEB 2 8 2020 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 DIVISION �LAMATION SAFETY <br /> MINING AND SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: <br /> Operation Name: j Y <br /> Permittee Information <br /> Contact Person: k9b <br /> Company Name: ,l u'T ,e-r 14 ra �'�►,e s Z4 t- <br /> Street Address: PO 8 q q/ <br /> city: nnnIA C LA, <br /> State:' U 0 , Zip: <br /> Phone:R 7 0 ) LI V � / 6 0 o <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: rc I m e; ,— Rayic� &-q, LL-LP <br /> Street Address: 2 g 4 a q R L� 7c p �� 70,E ` -ZY 1�y c <br /> City: 0 /r <br /> State: Cc Zip: <br /> Phone: (Tr ) J <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />