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DIVISION OF MINERALS AND GEOIAGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: / Amendment App: Conversion App: <br />Operator: Lafaree West. Inc. ~ Mine ID: M-tool-O9o '~ <br />Mine Name: giver valley resource '~ Filed Date: 04/04/2003 / <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): No application fee Application fee received <br />04/07/2003 <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED xo Fee <br /> / / / Fee / / <br /> received <br /> 04/07/03 <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED Need General <br /> Location <br /> Description <br /> / / Received / / / <br /> 04/17/03 <br />ITEMS <br />COMPLETED 13 14 Description <br />of Amendment Responsibilities <br />of a <br />permittee signature <br />Improperly <br />Notarized <br /> / / / App <br /> notarized <br /> correctly <br /> rec 04/17/03 <br /> Need Corp <br /> Seal <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: <br />