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2- <br />lI. ADMINISTRATIVE INFORMATION: <br />I. Permit Number: <br />i <br />2. Operation Name: <br />3. Current Permitted Operator: <br /> <br />3 ~i<~~~ 1 ~1G2~~~~ ~ <br />Contact Person: l~/¢/t7~ -.~ /~fi''/L <br />' ~- <br />Company Name: ~(///-!7~'~ 9 /T l01% ~~i¢%~,,~~//~~~/ <br />Street: ~/© r/(%CiJI %~~/ /Y~C~ <br />i <br />City: /ta/L% `~O~e/~1/ <br />State: ~ Zip Code: B~~ <br />Area Code: g~0 Telephone: ~/v~ ~ ~J~~~- <br />4. Successor Operator: <br />Contact Person: ~//~"h7~ S ~ // /,[9/~.L <br />r ,,~~// ~/ <br />Company Name: /3 c~7cOd/G s /7~000.~'~~-~ , ~/~/~` 'P <br />Street: q/r/ W9~'7 1'~ ~tf'y~I l~~ <br />City: J"~/Z% /!'/O~EG~/ <br />State: ~_ Zip Code: ~~~ <br />Area Code: ~ Telephone: ~~7 lO~-~~' <br />IRS Tax ID No. or Social Security No.: r~~- D Lf-/~-a37p`Z <br />~`S 1 ~~ <br />5. Application Fee: ~ID9'UOfor Hard Rock operatio ; $1 0 for onstmction Materials operations <br />Make check payable to the Division of Reclamation, Minin~g~~Kl/.Se }~ <br />