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<br />-~- <br />II• ADMIMSTRATIVE INFORMATION: <br />1. Pamit Number: <br />2. Operation Name: <br />3. Current permitted Otxntor. <br />Contact Persoa: <br />Company Name: <br />strut: <br />Clty: <br />Sffite: <br />Area Code: <br />4. Saecessor Ocemtor• <br />ConuU Person: <br />Company Name: <br />Street <br />City. <br />State: <br />Area Code: <br />IRS Tar ID No. or Social Security No.: <br />l~-i 9 85 -al ~ <br />KIGN- r~r <br />Gary J. Tuttle <br />G~S1FR,v~AneitESo~rItER.V,wG. `~-~' <br />---_ <br />1590 W. 12th Street <br />Denser <br />CO 80204 <br />Tip Code: <br />303 Telephone: 657-4123 <br />Gary J. Tuttle <br />Lafarge West, InC. <br />1590 W. 12th Avenue <br />Denver <br />co Zip Code: aozo4 <br />303 Telephone: 657-4123 <br />~. ApolicatianFee: SI00.00 for I-Iud Rock operations; $125.00 for Construction Materials <br />opaatiovs <br />Make chexk payable to the Division oCMineraLs and Geology <br />