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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY �� <br /> Department of Natural Resources <br /> COLORADO <br /> 1313 Sherman St., Room 215 p IV[ S I ON o f <br /> Denver,Colorado 80203 APR 0 5 7Q2z RECLAMATION <br /> Phone:(303)666-3567 MINING <br /> FAX:(303)832-8106 DIVISION OF RECLAMATION SAFETY <br /> MINING&SAFETY-MINERALS <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-1 <br /> TNLIJDM <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: <br /> Operation Name: (A3 ywCtVL' <br /> Permittee Information <br /> Contact Person: _ y I (— (,yCA..L <br /> Company Name: LA A „tip <br /> Street Address: L4(vpp E� , ,,o a. l Lo <br /> City: cvmt a <br /> of <br /> State Zip: l 6 2-"37 <br /> Phone: (4g)o ) 7 o I - 9. . <br /> Email (optional): 6t - o .cp w+ <br /> Prospective Successor Information <br /> r <br /> Contact Person: _ V. L L3 ..� <br /> Company Name: 12 v ac <br /> Street Address: �a go <br /> � <br /> City: r,r.- 121 <br /> State: _Co Zip: $((0 29 <br /> Phone: { Itp O ) 7 O I — 193 g <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />