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- <br />II. ADMINISTRATIVE INFORMATION: <br />1. Pemrit Number: <br /> <br />2. Operation Name: <br />-J~~'DWNS7FJn/~~19~R y <br />3. Current Permitted Ocerator: <br />Contact Person: <br />Corrgtany Name: <br />street: <br />city: <br />stale: <br />Area Code: <br />~l 7/ 7 W L~ 1<.gl~/ w 1~~P, <br />SORT eDLLIJ/S" <br />C t'J zip code: ~b S_ 2 ~ <br />9 ~D Telephone: ~ZZ ~ - ~ 8 ~i <br />4. Successor Ocerator: <br />Contact Person: J~ Y~'L ~T'R ~['_ _ ~ ~,`/ <br />Corrgtany Name: S TDnI /~ l.c/ W DL ~ S.H C.~ )Jt/C' . <br />street: ''°~"7/ 7 k/, ~/~/~,~V/kW DR, <br />cite /'pR T GDL L/,nl S <br />State: ~' © Zip Code: ~ p <br />Area Coder , ~ Telephoone: ~~22 /'-/ O .j <br />IRS Taz ID No. or Social Security No.: 6 7 - / ~ 12 / 7 <br />5. Aoolicatlon Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations <br />Make check payable to the Division of Reclamatioq Mining and Safety <br />