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<br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t 373 Sherman St.. Room 215 <br />Denver, CO 80203 <br />303 666.3567 <br />Fn%: 303 632.6106 <br /> <br />III ~~~~~~~~~~~~~~~~ F COLORADO <br />999 <br />~f J/~C~O_(~O <br />Nr ^/.YM1RP O <br />RECEIVED '"~8~`• <br />. La.sy <br />ire 76 <br />MAR 31 1993 <br />Rpy Ranar. <br />Gavemor <br />FreC R. Bania. <br />DIVI{lem Dlregor <br />DIVI$IDn DI fJllllbl dlc S tU ^ 1 <br />TRANSFER OF PERMIT ANO SUCCESSION OF OPE~RA~b~tS <br />APPLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators must contain three <br />(3> mayor parts: 1> an Application Form; 2) a Performance Warranty (attached as part of <br />the Application Package) bearing the original notarized stgnature of the Successor <br />Operator; and, 3) a replacement Financial Warranty (for the amount maintained by the <br />current permittee) provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and <br />order described below. <br />SD -OC~oZ <br />I. ADMINISTRATIVE INFORMATION 1_'I' -.3~ l~'~y <br />N,~v.- NU <br />1. Permit Number: M-87-028 <br />2. Operation Name: LILY MINES <br />3. Current Permitted Operator: <br />Contact Person: Fred Lowry. <br />Company Name: Lowrv Contracting. Tnc_ <br />Street: 625 Illinois Ave. <br />City: Salida, Colorado <br />State: Zip Code: R12n~ <br />Area Code: (719 Telephone: 5~9-6676 <br />4. Successor Operator: <br />Contact Person: Joseph Lionelle <br />Company Ndme: Lily Corporation <br />Street: Box 1037 <br />City: Salida, Colorado <br />State: Zip~Code: 81201 <br />Area Code: (719) Telephone: 539-3535 <br />IRS Tax ID No. or Social Security No.: <br />5. Application Fee: $100.00 <br />