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_ <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />/l~ 1495 03 S <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Sao rz <br />Contact Person: ~e rrv L t' f?O <br />Company Name: s~o 2 ~ T j <br />sweet: 3S X19 ~ N~ 14S' <br />City: /~/o r wu>., e~ <br />State: ~ Ct~ ~ a rc~ ~~ Zip Code: }~ 1 y 2 ~ . <br />Area Code: 7o Telephone: ~aZ7- ~/ v 7 <br />4. Successor Operator: <br />Contact Person: _ JI/,,a2ic S i-/,41~/r~-Sdvi <br />Company Name: ~-{..~ ~ ~, •~o.-, 11.vt Sti ~.~.~ I t , <br />street: F'o iiox I o i 9 <br />city: M ~ r t~-~ <br />State: (t[~ to ~-w~,, Zip Code: ~~ 0 <br />Area Code: 9~ pp,/ Telephone: _aU~7 - /9. ~~? <br />IRS Tas ID No. or Social Security No.: Q 7' /y ~'I 0 q7 <br />5. Anolication Fee: $100.00 for Hazd Rock operations; $125.00 for Construction Materials <br />operations <br />Make check payable to the Division of Minerals and Geology <br />