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• • III IIIIIIIIIIIIIIII <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />(S;~tvJ ~~~,~ 112 Regular Operation <br />I ~ ~--j_/~~ A~~cation Worksheet/Checklist <br />pa~~t r Y <br />New App: nD.~,.~~~~.n~1,,,,-~,_~n~Ame~~n++dme~~n__tnn App: Convers~i~on/~App: <br />Operator: ~11-~~12°U" ~/dX°~`7(~I,CV ~~ Mine ID: 45-~7 /,, <br />Mine Name: r11~~_.~ ~ [ ~ Submittal Date: c~~(D[`{~J <br />APPLICATION FORM (Rule 1.4): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br />ITEMS 13 14 CONY/ADM PERMTEE SIG <br />COMPLETED DESCP RESP <br /> ~x~«,5 sl tee/ <br /> lil ~~ ~~~ <br /> S~c~e 43-09~ <br /> d+a~~ <br />MAPS and EXHIBITS (Rule 6.2 and 6.4) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION <br />EXHIBIT B - 6.4.2 - <br />