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2- <br />II. <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number. <br />2. Operation Name: <br />3. Current Permitted Operator. <br />Contact Person: <br />CompenyName: <br />IYl o°Z~~a.- ~~~ <br />~~C~rc~~ ~~ T <br />I ~~C`~ ~.. ~ ~p(,Gt~S <br />~(,- ~(,ISILI t1) Cnfl~'~t'uc ~lt)xJ <br />street: P. v , ~ v x G ~ <br />City: 1,C~ Pte`' Wl.() f `~ <br />State: C o ~ o P cid [~ Zip Code: ~ 1 ZS 3 <br />Area Code: ~ ~1 Telephone: ~7 ~ Ll ' 0 ~ l S <br />4. Saccessor Operator. <br />Contact Person: ~ I C.~A r 6 {~.~ Y 0 up V1,~5 <br />Company Name: ~ ~ ~, ~ P? l.l.~~ ~ f t~ (~©hJS ~, Co ~ 1-LC~ <br />Street: 3 i Ly` ~,Y W 2r ~ Sui ~'? <br />City. //~~~ P au t' L7 S ~. <br />State: l,U ~!3 P 0- d (~ Zip Code: ~ ~ ~-t{ <br />Area Code: ~~'j_ Telephone: 7J ~ ~ ' ~ CI 7 ~~ <br />II25 Tax ID No. or Social Security No.: r'/~lJ '- ~ ~- ~ ~ ~n Io U <br />5. AnplicatIon Fee: $100.00 for Herd Rock operations; $125.00 for Construction Materials operations <br />Make check payable tb the Division of Minerals and Geology <br />