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STATE OF COLORADO <br /> DMSION OF RECI.AMA719N,MINING AND SAFETY p� <br /> Department of Natural Resources p ��� ) <br /> 1313 Sherman St,Room 215 1�s C U L O A A D O <br /> DIVISION <br /> Denver.rolorado 80203 AUG 0 9 24zz REC LAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX(303)832-8106 <br /> V!SlON OF RECLAMA'�ICN' <br /> p! SAFETY <br /> ® G 8,SAFF-ry-MINERALS <br /> APPLICATION F&M <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION SO-3 <br /> ERR►JDM <br /> Permit Information <br /> Permit Number: - <br /> Operation Name: 1 1P-n. . kVV-5*,-r1 -1� <br /> Permittee Information <br /> Contact Person: � r 1%/ 6, �Zl _— <br /> Company Name: <br /> Street Address: <br /> City: �)t,t?,;�- ._. <br /> State: ��,s, Zip: <br /> Phone: <br /> Email (optional): �- <br /> Prospective Successor Information <br /> Contact Person: �. <br /> Company Name: <br /> Street Address: 1 1 , <br /> City: .ww lj�kl j r <br /> State• G t g,� _ Zip: 0 <br /> Phone: (1I0 2 <br /> Email (optional): C R e p,71'�- 72 o r (0 It <br /> Office of Office of <br />