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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L S R A D <br /> p I V I S I ON OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: I ' I - 0 3 "190 a Cd <br /> Operation Name: CCd m b l h 5i t 10 4 <br /> Permittee Information <br /> Contact Person: <br /> Company Name: VJQ_S-{-pv ►� S`�y,�-�S lY� ,n t ►mac., S r✓li[ <br /> Street Address: 5-0 ( L-: 7 A,4- o <br /> City: Cp r X-9—A e-:, <br /> State: �a Zip: <br /> Phone: (9-�d cj 3 q A ( cf <br /> Email (optional): (/�l ��,,. N S 4-r, - Lt ' . CO INS <br /> Prospective Successor Information <br /> Contact Person: f " G <br /> Company Name: /eft <br /> Street Ad <br /> dress: <br /> City: �DI Zj <br /> State: l0(C) Zip: 81 j <br /> Phone: <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />