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S--T-A-TErQF COLORADO <br /> D VISION OF RECLAMATION,MINING AND SAFETY <br /> Dc partment of Natural Resources <br /> 1S13 Sherman St,Room 215 JUN 3 Q ZOD C O L O RA D O <br /> DE:inver,Colorado 80203 DIVISION OF <br /> Phone:(303)866-3567 DIVISION OF RECLAMATION, RECLAMATION <br /> FAX:(303)832-8106 MINING&SAFETY-MINERALS MINING <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-1 <br /> ADMINISTRATIVE INFORMATION BFB/MAC <br /> Permit Information <br /> Permit Number: I Y 1 0k o 0 D <br /> Operation Name: Q,�' Z o S-}-gyp h k <br /> Permittee Information <br /> Contact Person: L1 Y <br /> y 0 � -�'� p�, a� � 2 � ► Kg S <br /> Company Name: Z p �j-{- O In-2 L. L, C, <br /> Street Address: L a .+ d <br /> City: �(' �' G k ,2 +-+- <br /> State: `Q��i.0 p Zip: Qn t(0 (o '7 <br /> Phone: 19 $? <br /> Email(optional): C Cam-r k Z O -�- 0 1/l e, 6� OA <br /> Prospective Successor Information <br /> Contact Person: u. L L (Zti er- vvv ,� <br /> Company Name: <br /> Street Address: <br /> City: <br /> State: tolt(, Zip: <br /> Phone: <br /> Email(optional): r u S 5 I/ �cJ ���� G�f✓ Gn(h s�r,� <br /> Office of <br /> Minea Land Reclamation Denver-Grand Junction•Durango Office of <br /> Inaodi a Mines Active and <br />