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DIVISION OF RECLAMATION,MINING AND SAFETY STATE OF COLORADO <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone: (303)866-3567 D IV IS I ON OF <br /> FAX:(303)832-8106 RECLAMATION <br /> MINING <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: M — 0 3 - <br /> Operation Name: (fo rr — -- <br /> Permittee Information - <br /> Contact Person: 2 <br /> Company Name: wILS+ <br /> Street Address: t V I I <br /> City: CO <br /> State: r D <br /> —— Zip: <br /> Phone: 7 Q 3 11 - <br /> --Via. t� .� <br /> Email (optional): W►S_ I m Q <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: <br /> Street Address: (� <br /> City: a `(A-!. !�a'� C <br /> State: rH/111) Zip: <br /> Phone: '- )- &Z Email (optional): <br /> Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Office of <br /> Inactive Mines Active and <br />