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' <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />IRS Tax ID No. <br />5. ~tlication Fee <br />-z- <br /> <br />M-88-021 <br />Soward Ranh (;ravat n; t <br />Travis L. Lester <br />T T Fxnavatinn <br />23236 West Hwy_ 1Fn <br />nPt Nnrta~ rn <br />rn?nraAn Zlp Code: 81132 <br />(719) Telephone :_657-2363 <br />Mar~ral- M T.~ml, <br />S nfua rrT Ranrh Ddrtryerehi~ <br />P.o. Box 1~n <br />Cr Pd _ <br />Colorado Zip Code: gtt3n <br />(7191 Telephone: FSR_~~gs <br />or Social Security No.: <br />$100.00 <br />MaF:e check payable to the Division of Minerals and Geology <br />