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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY , /(:® <br /> Department of Natural Resources"`_ �1 v <br /> v COLORADO <br /> 1313 Sherman St.,Room 215 DIVISION OF <br /> Denver,Colorado 80203 `t ��'t021 REC�IAMAT 70N <br /> Phone:(303)866-3567 V <br /> FAX:(303)832-8106 N �ama ' —& <br /> °O,01 d�$di SAFETY <br /> APPLICATION F( M�ri�o9 ` <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: YIp�U <br /> Operation Name: 5 fr f A, I <br /> Permittee Information <br /> Contact Person:�'�j�,� ►��I L1� <br /> Company Name: <br /> Street Address: �5 - <br /> City: <br /> State: CIL>tep _ Zip: 1 T)X 9 <br /> Phone: ( 719 <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: R.00W. r . SO�.t T►-I W� <br /> Company Name: 5` "Co . N1 C <br /> Street Address: (l- tt c T>Avd- <br /> City: &.A-m.0 r A. <br /> State: co Zip: 911,01 <br /> Phone: ( 7/1 ) S8 — S103 <br /> Email(optional): T•0C4G G SQw,+h w wj C0 . GO^'- <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />