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~- <br />II. ADMIMSTRATIVE [NFdiL~tATTdN: <br />1. Permit Number: <br />2. Operation Name: <br />YV1 - 199 5 - 0 9 7 <br />.5 rvt u c,-c..LE ~ Yl~l i rvs <br />3. Current Permitted Ocerator: <br />Contact Person: C~ caQy W ~-t CsN~T <br />Compa~Name: 1/~1e.\U\-~-T ~- r'~FUS~-~} Y1~iNiNU,,~LTO. <br />Street: '~ 15 WcsT Mars SI . SvVtE Zb l <br />City: ~s~e='~ <br />State: ~~ozar~o Zip Code: 8161 <br />Area Codc: 7 o Telephone: 9 zS - S~ Z S <br />4. Successor Ocerator: <br />Coated Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Codc: <br />IRS Tae ID No. ar Soda[ Security No.: <br />r~ Y ~a e.ka~ <br />I~lt=v.~ SrnuGGI.6~2 /11wE \oa.PorLr~T~6N <br />i <br />61oo-Srnucrv~.e,~ rn„v. ~o. lax Z-o3 <br />~w e-+~c~ o Zip Code: 8/6!Z <br />Telephone: 9Z S - Z~ `f 9 <br />SY - 1278903 <br />~. Aoolication Fee: $100.00 for Hard Rock operations; $I25.00 for Construction Materials <br />operations <br />Make chec}: payable to the Division of Minerals and Geology <br />