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<br />1. Pemtit Number: <br />2. Operation Name: <br />1491-082 <br />Tiger Timber Site <br />3. Current Permitted Ooerator: <br />Contact Person: <br />Company Name: <br />Street: <br />City. <br />State: <br />Area Code: <br />4. Successor Oaerator: <br />Contact Person: <br />CompanyName: <br />Street: <br />City: <br />State: <br />Area Code: <br />IRS TaY ID No. or Social Security No.: <br />Frank Laughrey <br />Tiger Timber,'Inc. <br />P.O. Box 128 <br />Lake George <br />CO Zip Code: 80827 <br />719 Telephone: 748-3621 <br />Frank Laughrey ~ , <br />P.O. Box 128 <br />Lake George <br />CO Zip Code: 80827 <br />719 Telephone: 748-3621 <br /> <br />5. A~ulication Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials <br />operations. <br />Make check payable to the Division of Minerals and Geology <br />