Laserfiche WebLink
P- _I 00th-0_5Z <br />Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCKIMETAL MINES <br />CHECK_ ONE= There Is an NOI Number Already Assigned to this Operation <br />NOI # P- . (Please reference the file number assigned to this operation) <br />New NOI <br />Modification to an Existing NOI <br />NOW P- - (Provide for Modifications to an existing 1401) <br />GENERAL OPERATION INNTORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I. GENERAL INFORMATION <br />i- DATE NO RECEIVED BY THE ©ViStOi?. office use only) <br />2. I!ROJECT„NAME: <br />3. 'ROSPECTOIL <br />Name: _ .r f c fY>ayj <br />-- s* PEcgfflN- MLRB, SHOI3L&CO_ _NTACT: <br />Name <br />Tide: ----- ,? Tine: <br />Company Name:_._.. Company Name: .a. ,;- <br />Street: t ._ l ri?i ___.....___ __._....___ .Street: 4ZG /?. <br />P.O. Box: _. P.O, Sax: 4:12:' <br />city:. ??-r,.. - _ ............... ...._:-_. ._ <br />/yy ? <br />City: <br />State: If-e) State: <br />Zip C O& <br />- 1;2 3 t ; ._ .._........_._._...... - -..__..__......_._.,.._ <br />zip Chefs:i Z3 <br />?_------..._ ____...__ ..... ...... ......... .................. _.__. <br /> <br />"Telephone Nuns-,.._..L".?y.. ....... ....... ........... .._._ _ <br />Telephone Number: ?j <br />Fax Nunut eu e? f y <br />W <br />------ - ----- <br />Fax Nki#17713Cf: ?i t .. ar df? ` 10Y20 <br />¢. AT!PLICACION I <br />_Fn; SS6. (NOIs require a $96 ke which must accompany this twtice or it cannot he processed by the <br />Division). <br />5. LOCATION Il ib'0RXIATIQN- <br />County:_.__..?rs? <br />t. IIs4L.'ttI Itil)AA (check casne} !' -64h C..'trlf3racis) '(.New lrff. xiu?) {C,tet <br />SEC TICYN (write nuftibery 8