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<br />APPLICATION FOR MINING AND RECLAMATION PERMIT <br />Pursuant to C.R.S. 1973, 34-32-101 et. seq. <br />OL~TNER, OPERATOR, AND AGENT: <br />1. Applicant <br />Name Flatiron Paving Company of Greeley <br />Address P.O. Box 1137, Greeley, Colorado 80631 <br />Telephone 534-1696 <br />2. Name (if any) of Mineral Property Greeley West <br />3. Property Owners, or owners of surface rights (List all <br />owners). <br />Name Harold H. Short and James G. Milne <br />Address p,O. Box 229, Boulder, Colorado 80306 <br />Telephone 444-2151 <br />9. Owners of Mineral rights <br />Name <br />Address Same as above <br />Telephone <br />5. Lessee <br />Name <br />Address N/A <br />Telephone <br />County/City Weld/Greeley <br />