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2- <br />II. Au~x'iNISTRATiVE INFORMATYON: <br />1. Permit Number. <br />2. Operation Name: <br />M-1991-147 <br />Belvedere Stone, LLC. <br />3. Chrrent Permitted Operator. <br />Contact Person: <br />Company Name: <br />Street: <br />City. <br />State: <br />Area Code: <br />Jack G. Quinn <br />Jack G. Quinn, Inc. dba Stone Forge <br />P.O. Box 155 <br />Woodland Park <br />CO <br />719 Telephone: <br />Zip Code: 8 0 8 6 6 <br />687-1295 <br />4. Successor Operator. <br />ContactPersan: William G. Johannsen <br />CompanyNatne: *Ra1vPAarP Ston ~ LLC_ <br />Sweet: 2635 Steel Drive <br />City: Colorado Springs, CO 80907 <br />State: Colorado Zip Code:gpon~ <br />Area Code: 7 ~ 9 Te]ephone: 5 7 7- 9 9 0 0 <br />II2S Tax ID No. or Social Security No. <br />*currently being organized <br />5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations <br />Make check payable to the Division of Minerals and Geology <br />