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~ , iii iiiiuiiiiiuiii <br />pLBLIC REVIF'W INFORMATION <br />Please provide the following information for our files. Thank You. <br />Daze: D 3~ I S~ 0 ~ <br />Your Name: (Prima) <br />Company Name: <br />Address: <br />Files to Review: permit Number Operator/Company Name <br /> <br /> W1 - 19 qk- oc~~ L-cni's i~ /usau~~ <br /> rn- X499-D~z f.lc c-~or ~oo[r: a~..~2 <br /> Nt-IR4i- fob <br />Reason for Review: C<1 _ 14 $~- l I S <br />A. <br /> r't- 19 g~- I~ 1 <br />Phone Number. p~ _ 1 q 9 L - [ 1 I File Returned: mMC ~.> <br />Copies Requested: ! L[1_ _ ~,,,m„~{ payment - <br />We hope that your recent contact with the Division of Minerals and Geology was satisfactory and was <br />performed in a courteous and professional manner. <br />We would sincerely appreciate hearing from ynu about your experience in our offices or with staff <br />from the DMG in the space provided below. Any commems or suggestions will make it posstble for <br />us to serve you better. Thank You. <br />Mike Long <br />Division Director _ <br />DATE: c:~wpst~,:r_.t,m <br />i <br />Comments and/or suggestions: (For example: favorable/unfavorable regarding Division forms, <br />