1998-02-19_REVISION - M1977248

• Permit No: M1977248
• IBM Index Class Name: Revision
• Doc Date: 2/19/1998
• Doc Name: SO Appl
• From: Gold Eagle Mining Inc.
• To: DMG
• Type & Sequence: SO3
• Media Type: D
• Archive: No

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ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No.
5. Application Fee
Telephone:_
~ o ,(l ~a R~ Vyi
C~-nnd ~ /~ ~A l~ L. ~ /17~.r~~iyG -.Z.t/ c.
P~U ~i0 X _3oG?
U Zip Code: / 0 2.
~D Telephone: vz~!'9- 070 S~
or Social Security No.: ~Y - ~o~~-Z f~~0
$100.00
Make check payable to the Division of Minerals and Geology
~ - ~ 7 - ~ Sib'