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' 04/01/02 MON 15:99 FA% 9702411516 <br />Minerals & Geology G Jct <br />- ,i <br />ii, <br /> <br />eorretp~y,der~,InPormaHna: ~ • <br />P /OP f)R (Hama address and phone of name to ba used oII patmit) , <br />Cootact'sName: ~D NA-'(DEI.1 Tida: Cook ~-°~"~M~/GN~R <br />Company' Namc: <br />Street: <br />Ciry^ <br />Stare: "' Zip Coda: 8(~ ~ ~ <br />Tclophond Nuatber: f "~? a , - 87K •' 2./ 0 d <br />FasNttmbar. 90 _ 8 j~" 21)4 - <br />PERMITTiNOCONTACT (if different from applicam/opcratot abwo) , <br />CaatacP3 Namc: ~EFFO f2-'( C~`=AID E" Title: l_.o, w~t5 ~ t-TANT <br />Company Name: C R.4/,-~~' /+ SSDUA ;''~S L L G <br />Streac <br />Ciry, <br />State: ~~ 0 .tip Cada: ~ / `-f / 9 <br />TaLapboaeNamber. 7d -_ '~ Z^~33 <br />FarNombcr. 70 87Z' 2~{3 ~ - <br />LNSPECTLON CON'PAGT <br />Contact's Nz~c: <br />Compmty Nmme: <br />Street. <br />Ciry: <br />Stew: ~_, ~ ' / Zip Codo• _ ~ /~/ <br />Talapboaa Numbcr. ~ 0 - R 'J 2 3 2 S7 <br />Fax Number f ~ - v~d M E <br />CC: STATEpRFEDERALLl4,IDOWNERfiPaav~ <br />Agt:ncy: <br />Stmt: <br />CiN: <br />Statc: Zig Cadc: <br />Tclcpboaa Ntwber. f 1- <br />CC:_ SPATE ORFFD _ i NDOWNER (if anvl <br />Agrncy: <br />StreaC <br />Ciry: <br />State: <br />Zip Code: <br />Ttlapboaa Number: <br />IGAt~Psr{ t~L.iQltfL Tit1e:K~A'o ~~'FbT~rr~r~D~N'T <br />