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STATE OF COLORA <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 OCT 9 ��2� C O L O RA D O <br /> �r„r��g, 01vIS ION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> MINING <br /> Phone:(303)866-3567 ,; _ <br /> FAX:(303)832-8106 �° DIVISION OF RECLAMATION <br /> MINING&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: <br /> Operation Name: E---05 rM e-20 1 <br /> Permittee Information <br /> Contact Person: R k C.,l< "t �, c <br /> Company Name: <br /> Street Address: <br /> City: 14 1f.?CTy r,� <br /> State: Cjz--nx � Zip: `3 C:> -7 '�3 1 <br /> Phone: (�<�t� ) S 2n -- C�:7 CDS— <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: (i11/'r S G ' ��► '' -- <br /> Company Name: q `/o G L l_C- <br /> Street Address: 'P.0 <br /> City: <br /> State: CA-;> Zip: �✓ <br /> Phone: ) <br /> Email(optional): ��,f� S7 e, I en <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />