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1. <br />-2- <br />1. Permit Number: <br />I 2 OperatlonNarne. Tallahassee Pit <br />3. Cprrept Perndtted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />state: <br />Area Code: <br />4. Speeeasor t)berstor: <br />Conact Person: <br />Copipany Name: <br />Sheet: <br />City: <br />State: <br />Area Code: <br />IRS Tax [D No. oc Social Security No.: <br />M-99-003 <br />Jerald Seifert <br />Terald Seifert & Fred r.owry <br />P.O. Box 305 <br />Westcliffe <br />CO Zip Code: 81 2 5 2 <br />71 9 Telephone: 7 8 3- 2 7 5 7 <br />Jerald Seifert <br />Seifert Construction <br />P,O. Box 305 <br />Westcliffe <br />CO Zip Code: 81 2 5 2 <br />719 Telephone: 783-2757 <br /> <br />5. Agplieatiop Fee: 5100.00 for Hard Rack operntiow; 5(25.00 for Conshoction Materials operatio~a <br />Make check payable to the Division of Reclartiadon, Mining and Safety <br />