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1 <br /> II . ADMINISTRATIVE INFORMATION: <br /> 1 . Permit Number: -g4 - 001q <br /> 2. Opeiation Name: glle � <br /> 3. Current Permitted Operator: <br /> Contact Person: perm lOwo�erm,lt� <br /> Company Name : I ecK1L C�+s�cue�ov C o <br /> Street: LZSoI Oe-ld L' a, ,�� <br /> City: LcncQmo1 <br /> State: Q-PjAc:roolo Zip Code: SOSoI <br /> Area Code: 2_0 Telephone: 4y4 - 74L4L4 <br /> 4. Successor Operator: <br /> Contact Person: '�eCY hfeGA 1 <br /> Company Name: o l� - rw�r �KS tMc Gov. <br /> Street: 3C>ZL 4 P•O fox Sig <br /> City: 62 ree_1e.. <br /> State: l_,(j-6Moj8 Zip Code: 3-0/a31 <br /> Area Code: q7Q Telephone: 3S7--L9C157 <br /> IRS Tax ID No. or Social Security No. : gq - OS2l1 S-?3 <br /> �ay 4-70 - 3sa- 47a 9`1 <br /> S. Application Fee: $100.00 <br /> Make check payable to the Division of Minerals and Geology <br /> \ X <br />