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ADMINISTRATIVE INFORMATION: <br />I. Permit Number: <br /> <br />2. Opcration Name: <br />(:urrent Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />4. Successor Operator <br />Contact Person: <br />Company Name: <br />St,-eet: <br />City: <br />State: <br />Area Code_ <br />IRS Tax ID No. or Social Security No. <br />A a c. ee 9 <br />Rob ; n 5? r iL_K '?-o w+ p a <br />l 8 ?l 5.1c1.-??f??f1• v e . <br />C O zip code:O! 10 - l30$ <br />303 reiepi,one: -763 - 3014, <br />MWe <br />__G e.ner?l_S k ?I eel -- <br />-=?-30.x__ 3 5 14 7 - - <br />T/V - zip Code: <br />363 Telephone: 78? 3oye_-, <br />2 O _o H 5-- s 9_____ __----? <br />Application Fee: 5100.00 for Hard Rock operatimm 5125.00 for Consn'UCtion Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety