Laserfiche WebLink
, <br />-z <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Nrmmber: <br />/YI - /990 - /~!3 <br />2. Operation Name: <br />3. Cnrre~ Permitted Operator. <br /> <br />Contact Person: LHEST//E~~.Q ~JOn/~ S <br />Compa~Nmne: .DFC' C~RANliCS ..G./c . <br />Street: .//~///.~ .)ouTN 9iN JT. <br />City. (.,A.JOA/ tnc Zy <br />State: ~0 Zip Code: x/2/2. <br />Area Code: ~_ Telephone: Z7S- 7S1 S <br />4. 8ncceasor Ocerator. <br />Contact Petsom ~tiE STF,~ /~JT,~~S <br />Cc®pepyName: TH`F,PM.G L (iQAin/e~SJ ?iC . <br />SYRCt: //~/'J/,.71 .~`J r/TfI 7TI/ UT. <br />Clty L//'/J/~O/J ~L ~~/ p <br />State: l= D Zap Code: d/2/Z <br />Aree Code: ~T Telephone: X27- 2/a/ <br />IRS Teat ID No. or Social Security No.: _ Sao ~ /.S' ~~/76 <br />5. Application Fees $100.00 for Hard Rock operations; $125.00 for Construction Materials operations <br />Make check payable To the Division of Minerals and Geology <br />