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<br />-2- <br />Corcspondence Infor~natlon <br />Per~nittee <br />Individual's Home: <br />Company Name: <br />Address: <br />Telephone: (343)o1S~i- 3,~GD <br />Permitting Contact (if differenct from above) <br />Individual's Name: <br />Company Name: <br />Address: <br />Telephone: (303) <br />Inspection Contact (1f different from above) <br />Individual's Name: <br />Company Name: <br />Address: <br />Telephone: ( ) <br />End of information to be entered <br />2. Location of Exploration Area, Rule 2.02.2(2)(c): <br />a. County):): La p/~.~ <br />b. 3,3' ! I kl <br />d. Supply longitude end latitude if the area has not been <br />surveyed. <br />c. A map at a srale of /~" -~ HBO' has been <br />provided which shows t e~exp7 Drat on~vTtles <br />involved, Including all roads to be used or built and <br />the locetlon of drill sites, if appiicabte. <br />