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I. ADMIMSTRATIVE INFORMATION: <br />1. Permit Number. <br />2. Operation Name: <br />3. Current Permitted Ocerator: <br />Conrad Person: <br />Compatry Name: <br />$lrCCt: <br />City. <br />State: <br />urea Code: <br />4. Successor Ocerator: <br />Contact Person. <br />Company Name: <br />Street: <br />City: <br />State: <br />RECEI~IED ~ <br />-~ - JUN 0 7 2002 ~pf39' <br />Divis(on of Minorak end Geology <br />/yl-l9g0-i3 ~ <br />C {~IYI r <br />Tae ID No. or Social Security No.: <br />Gary J. <br />~ <br />a7or3it,E roc. <br />1 0 W, 12th Street <br />/enver <br />CO 80204 <br />Zip Code: <br />303 Telephone: 6s~-4123 <br />CO Zip Code: 80204 <br />303 Telephone: 657-4123 <br />Gary J. Tuttle <br />Lafarge Nest, Inc. <br />1590 W. 12th Avenue <br />Denver <br />~ l Aoolication Fee: 5100.00 for Hard Rock operations; $125.00 for Construction Materials <br />operations <br />Make check payable to the Division of Minerals and Gcolog~ <br />Nod ~Not~ <br />~~ _ ~t1i51aZ <br />