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2- <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: I ~ lLL VYL11~ ~Sr~~ . <br />3. Current Permitted Operator: <br />Contact Person: ~~~(1~ ~ . ~r~.1~~11') <br />Company Name: ~ ? t7CLf <br />Street: ~ O ~ 0+~~ .Z~d <br />city: ~C:.r.~r~~aQn <br />State: (/~,f~~D~C~ Zip/Code: g~b~3 <br />Area Code: `I ~~ Telephone: %~D~-' ~'2-rS <br />4. Successor Operator: <br />Contact Person: --~Of(~ ~ ~OZC°~I'~ <br />Company Nmme: ~ Q e L~-~~~ . ~, »C . <br />Street: ~ `}~ (.(.~ ~ ~ i-)l?2~ 1(° .-_ <br />t:ity: 1~en ItP.~ <br />State: (~ Zip Code: CJ~ Z~ ~``__ <br />Area Code: ..A,/ 3 Telephone: 1057 ` ~3~ V <br />II2S Tax ID No. or Sociel Security No.: o~ .~ '- ~.J~ ~02~ <br />5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations <br />Make check payable to the Division of Minerals and Geology <br />