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STATE OF COLORADO <br /> RECLAMATION,MINING AND SAFETY �Ci����� <br /> if Natural Resources <br /> ,nerman St.,Room 215 C O L O RA D O <br /> DIVISION OF <br /> rer,Colorado 80203 � 1 NOV 0 8 ZOZI RECLAMATION <br /> rlane:(303)868-35r,7 MINING <br /> FAX(303)832-8106 <br /> DIVISION OF RECLAMATION $ E,I,Y <br /> MINING&SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS SO-4 <br /> JPUJLEISMSIAWA <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: D, i a <br /> Operation Name: _ ROy_ ) Ef�IYA r. <br /> Permittee Information <br /> Contact Person: <br /> Company Name: <br /> Street Address: it <br /> City: <br /> State: Zip; <br /> Phone: { y 1 <br /> Email (optional): �1 ��A&IVM .,`E.AM <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: M` <br /> Street Address: <br /> City: <br /> State: Zip: <br /> Phone: ci } _ <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Declamation Denver-Grand Junction•Durango Active and <br /> Inactive Mines <br />