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<br />2- <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />f9- /9~/ -/~/ <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Contact Person: f3 • ~~y////P~i ~ ~~ <br />Company Name: /~~I~ /7i/'~~ ~/~~a./n//E S~G,~~/2~ <br />Street: L4%f"n/~:rT/~P~.A/eLEf7` RnF3D <br />State: ~~ ~0/1 A'/~O Zip Code: /7 ~n <br />Area Code: _]~~ Telephone: .x..37--Z7~~ <br />4. Successor Operator: <br />Contact Person: ~ R Ff/ ~ aEI,P SRaD (ey~Pky. <br />Company Name: ~ ~ K ~DGL r~ <br />!i•G. Bor 7~ SD <br />Street: s'~.v-~ .n/~~~Z7~'/IRK 2B. <br />City: [_'"i?~rMfZ/~OL~ J~~'.~in/~~,5 <br />State: C Dld2l3Dfl Zip Code: s~/"7 ~~3~~ <br />Area Code: 7/C/ Telephone: . ~g 1-B ~O <br />IRS Tax ID No. or Social Security No.: <br />5. Aonlication Fee: $100.00 for Hard Rock operations; $125.00 for Constmction Materials operations <br />Make check payable to the Division of Minerals and Geology <br />