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<br />-2- <br />_1 / Information Category Continent <br />G, <br />11 _ General Location and elevation Q~n~l~~ <br /> ~ <br />12 _ County 'i <br /> <br />13 Public Uffice/Public Inspection Copy '~ <br /> ~ <br />14 ` Acreage of Disturbed Area it <br /> / <br />ld d Acreage of Affected Area '~ <br /> <br />10 / Acreage to oe Permitted ~~ <br /> ~ ' <br />17 Application Fee. ~ <br />18 ~ Permit Tenn +tequested ~~ <br />I, <br /> 2.3.4 Identification of Interests ~~ ~G. <br /> J <br /> 2.03.5 Compliance Information Pj} '~ <br /> <br /> 2.U3.o Rights of entry and ~~ <br /> Operation Information <br /> Z.O3.7 Relationship to Areas Desiy- 1~ ~~ <br /> mated Unsuitable for Mining <br /> y <br />9 <br /> 2.03.8 Permit Tenn Information ~' ~' ~ <br />c~~, <br /> Z.03.9 Personal Injury and Property T~DdQ ~ r~ ~~M ~Q <br /> _ Damage Insurance Information ~ p ~~'"~A <br /> J 3 <br />10 fi ~~~ <br /> 2.0 <br />. Identi <br />cation of Uther <br />Li <br />P <br />i L <br />`nl~ <br /> censes antl <br />erm <br />ts <br />~ _ 2.03.12 f~ewspaper Advertisement ~~ <br /> <br />(Submit a Copy of the news- ~ <br /> paper Aovertiseinent) <br />^wC <br />