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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY C O L O R A D O <br /> Department of Nature) DIVISIONI S I O N p F <br /> RECLAMATION <br /> 1313 Sherman St.,Room 215 M I N I N G <br /> Denver,Colorado 80203 <br /> Phone:(303)SW3567 SAFETY <br /> FAX:(303)832-8106 <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-2 <br /> ADMINISTRATIVE INFORMATION ACY/THMISMS <br /> Permit Information t <br /> Permit Number: 4 ©© <br /> Operation Name: <br /> Permittee Information <br /> Contact Person: <br /> Company Name: 41 <br /> Street Address: <br /> City: C-r4 � <br /> State: CI'S (D iw� Zip: <br /> Phone:S 4 76 ) <br /> Email(optional): <br /> T <br /> Prospective Successor Information <br /> Contact Person: k(er !fie cc� <br /> Company Name: `7 R "C- <br /> Street Address: /'y qC) 0�yD Gc.n'�.�h (fit e4l Oath <br /> City: 14 -4&-- <br /> State• 4�CG r Zip: g <br /> Phone: 775 <br /> Email(optional): 6r rkkOT [9. �rr.ai� -coin <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />