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- <br />n. <br />1. Permit Number. <br />2. Operation Name: <br />M -987- O8~ <br />3. Current Permitted Ocerator: // <br />ContactPel8on: Q..Fj~jJ(, ~~l~S /I'ti1JISTE~f. <br />Company Name: TES ilL. ~ ``4S~" <br />street: ~~ ~ ~~~ ~,~,~. t~-- <br />city: <br />State: Zip Code: ~Co'/ <br />Area Code: ~~ Telephone: ~,~iz- ~~~ <br />4. Sueeemor OPgrator: <br />contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />IRS Tax ID No. or Social Security No.: <br /> <br />Zip Code: ~~- ~ <br />S. Aootleatbe Pee: 1100.00 for Hard Rock operations; 5125,00 for Conuuction Materials operation <br />Make check payable to the Division of Reclsmatioa, Mining and Safety <br />~~' Telephone: ~i,~r1~- /~i~ll~ <br />a~~~'n~ <br />