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-~- <br />tI. ADMINISTRATIVE L\FORMATION: <br />1. Prnttit Number. <br />n1- ~9~7- a~3 <br />2. Operation Name: <br />3. Current pertpittedOcerator: <br />~~_1~1 T' <br />Contact Person: ~OwI.A S ~ D f 1,~~0. ~. r <br />Cprr>pany Name: ~ ) <br />Ya~CO Tf1C, __ <br />Sweet: ~ ~. ~O~ ~$O <br />Ciry: ~DGK/ FO f~ <br />state: Co%~'A~r7 zipcpde: 9/067 <br />Area Code: 7~ 'Telephone: aSy ~ 77 t6~ <br />4. Successor Operator: <br />,t~- ~ <br />Contact Person: , M f K ~ ~QCOI7$ O fJ <br />Company Name: Fiwe R;vets Ranch Co,i-tk Fee~:rw LLG <br />Street. ?ASS u S 1-l.a_y_ S ~ <br />City: '~ a w. a i <br />State: CQ Lip Code: ~IOSZ <br />Area Code: 7~ q "Telephone: ~~_q_ _'t& ~ <br />lRS Tas ID Nn. or Sncial Sectaity No.: ~1~~e ~~__-?7 L" ~~ ~ ~ ~i Q ~_ _____ <br />5. Application Fee: $100.00 for Hard Rock operation4; 5125.00 for Construction Materials opemrions <br />Make check payable to the Division of Rcclamalioq, Mining and Safety <br />