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2- <br />Il.. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current.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 />Street: <br />City: <br />State: <br />Area Code: <br />IRS Tax 1I> No. or Social Security No. <br />A -1978-3y9 <br />Dick Cuse7 Concrck P,- <br />de t?r1 (/O?tIle <br />hick CGsc4 (,Onerele <br />PO 900 /8/' <br />9; {'le <br />CO Zip Code: YMS-0 <br />9747 Telephone: 42s-- D 7/-/6 <br />PP. ?L S.?GOMt!»p <br />0%deusfic 31,) 6--axe-Inc. Ac. y,,;l?l f^o?nFmoof/'r?,4 Ccw?'7 <br />PO flax 3609 <br />Cr6.) 3-116a?101) <br />co Zip Code: $/SOvZ <br />770 __, Telephone: _ .2 "/ 3 - '1900 <br />•.._._.?_... Sy -. d,y y 9536..__..__...._..__.._....._.__..._........ <br />5. Application _Fee: S 1 15,00 for Hard hock operations: $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety