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~- <br />II. ADMINISTRATIVE INFORtiLAT1ON: <br />I . Permit Number: <br />2. Operation Name: <br />3. Current Permitted Oaerator: <br />Contact Person: <br />Compaq Name: <br />street: <br />City. <br />State: <br />Area Code: <br />4. Successor Ocerator: <br />1"11- I ~r~6- /o~{ <br />I~IDNT ~f;Y P1T <br />F}soN I3U(.`K~ `1 <br />Q.C. 6vx J72a <br />~A W~~2/1S <br />Zip Code: 8« Z <br />~c Telephone: CJ ~ ~ I <br />Contact Person: J~sa~+ (3UK k~ `7 <br />~lacasUe SW Group, Inc. <br />CompaayName: d.b.a. B & B Exravatfia <br />str«c: Q. U . (~o~ 1 ~2~r <br />City: ~d i-JA2QS <br />State: CO Zip Code: /63Z <br />Area Code: ~~ Tele//phone: 9~ ~ ~ ~ <br />IRS Tar ID No. or Social Security No.: ~ / ~- U y ~ ~J 3 (~ <br />5. Aoolication Fee: 5100.00 for Hard Rock opcrations; 5125.00 for Construction Materials <br />operations <br />Make check payable to the Division of Mateials and Geology <br />