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a <br />;.: , . <br />RECE9~/E® <br />_ s _ JAN ~ 11005 <br />14. Correspondence Wormstion: Division of Minerals and GeelaBY <br />APPLICANT/OPERATOR (name, address, and phone of ttame to be used on permit) <br />Contact's Name: - YNKHAEr_ Lou KOaEeJ Title: GE~IEWI~ Mak. / JD <br />Compmy Name: t_ o It ~s o N E rJ 6{teS STo a E Le m Pa a Y <br />Street/P.O. Box: ~2AQ'+~ n1, FooT N i ~~5 K W Y P.O. Box: <br />City. LONG nods <br />gate; Co ~o RA o o Zip Code: CJ 0 5 0 3 <br />Telephone Number: i 30 3 ) - ~ 2~ - (0 2l. 8 <br />Fax Number ( 303 1- $23 - O 843 <br />PERMITTING CONTACT (if different from applicant/operatar above) <br />Contact's Name: SAmF_ Al ABoV6 Title: <br />Company Name: <br />Street/P.O. Box: P.O. Box: <br />City: <br />State: Zip Cade: <br />Telephone Number: ! l - <br />Fax Number: ( ) - <br />Contact's Name: <br />Company Name: <br />Street/P.O. Box: <br />SAmE AS A~o~E Title: <br />P.O. Box: <br />City: <br />State: <br />Telephone Number. ( ) -- <br />Fax Number: ( 1- - <br />CC• STATE OR FIDERAL LANDOWNER (~fanv) <br />Agency: <br />Street:. . <br />City: <br />State: <br />Telephone Number. ( 1- - <br />CC• STATE OR FEDERAL LANDOWNER lif am) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: ~ ) - _ <br />Zip Code: <br />Code: <br />Code: <br />