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<br /> <br />-~- <br />ADMINISTRATIVE INFORMATION: <br />n. <br />I. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator. <br />Contact Person: <br />M I~1~63_ d2~ <br />~G~ ~ P`~- <br />Compa>ry Name: ~zs7, ~ ~ 1l i~ pn n A. n ~ d , T~ C, . <br />Street: ~ ~~X' x.10 <br />City. <br />State: Cr) 2ip C~ lode: ~~ 30 <br />Area Cade: ~ Telephone: 2-'T 7 '~ L ~ 7 <br />4. Snecessor Ocerator: <br />Contact Person: ~'vlCl~~_ f i~ LTA ~ <br />DL ~~ e ~J C>--"v~~ ~..~, t~t3~ <br />Company Name: t~».~ r L'~<c'u e 1-S JUa ~e~r r o_ ~' .e <br />Street: t~,~'C,\} ~ E3a-=r Z'I d'~ <br />City: _ ~J i..~.r Cvy~4 f~ ~y <br />state: ~ 0 Trp code: d ( o Z <br />Area Code: C~~, rd Telephone: Z`{ ~ ~ Z [ ? Z <br />IRS TaY ID No. or Social Security No.: R T '- ~ ~{ ~ ~ ~l 3 <br />5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials <br />operations <br />Make check payable to the Division of Minerals and Geology <br />