2002-03-27_REVISION - M1996076

• Permit No: M1996076
• IBM Index Class Name: Revision
• Doc Date: 3/27/2002
• Doc Name: Completeness
• From: Map Surveys Inc
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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14. Corresoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on pyfMinerelsandGeo~o

Contact's Name:
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FnHTi~ ti i gy
r'i Title: /J/d NGY
Company Name:
Street:
City:
State: L~p~O/`Q4~0 Zip Code: ~~SZO
Telephone Number: j ~J~T~ ) - ~7~ ~' 71~~cQ
Fax Number: ~ T 70 } - ~lv~ ' S~~.~
[ITTING CONTACT (if different from applicant/operator above)
Individual's Name: Sa h?e. Title:
Company Name:
Street:
City:
State: Zip code:
Telephone Number: ( ) -
Fax Number: ( ) -
Individual's Name: $sz/Y!G
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
Agency:
Street:
City:
State:
Zip Code:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: /1~OA~-
Street:
City:
State: Zip Code:
Telephone Number: