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//~~ III III'111111111111 <br />sss <br />l.tHITEO trP~ktT (i10) <br />SPECIAL 10-SAY (111) <br />1 T'c:i <br />Ra~ky Flut G~4V.G/ ~, <br />NAME- L_ yMa Got..,•.ev FrlE -fp.2-1~.y <br />COMP! ~T~ AGE:~UATE COHNENTS <br />AO~IICatICn =0 r'I: <br />1. ?lame of operation <br />2. Nare of applicant/operator I I ~ <br /> X ~ <br /> <br />j. Address E phone, local I <br /> I X x <br />~. Address ~ phone, generai f <br /> I ~ I <br />j. Person to contact <br />f <br />6. Surface owners I <br /> X _ <br />j. Mineral owners 1 f <br /> J X I ~.C <br />8. Source of legal right-to-_n tar I I I <br /> X ~ <br />? Type of mine/substance I I I <br /> k K <br />10. General location ~ elevaticn <br />I <br /> ~ S< <br />11. County I I ~ <br /> I K <br />;,, Aereace I <br /> ~ <br />Ij °e_ I <br /> ~ <br /> <br />li, Prose^t land use ++ <br /> <br />x I <br />I <br />15• Pra~ased future use <br />xl <br />~ I _ <br />lE. Si;nature I I <br /> X I <br />Moos and Exh?hies _ <br />i:XHIoIT A - Legal Description <br /> US„cl 41a ~S I': e~c-Nbt Gc~~44~F <br />S <br />::H131T 3 - Mining Pian ~ <br />eXH13fT C - Hap \ <br />x <br />f~ 9 J ~ I ~Q'jk q, ba _'f y,~.ter p~gt aunt ~b <br />:,Cii iDl l 'L - 'Ji l~ ~ G, Fwd to .^ PG AUrC85, <br />Ueg tatior, Seil;~/I~~or-a=icn \, ~ ~ <br />!~C` wa {.r r, <br />