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I. <br />RECI\/ED <br />OCT 2 9 Zoo? <br />Division of Reclamation, <br />ADMINISTRATIVE INFORMATION: Mining and Safety <br />1. Permit Number: ? - I q 6,;- l0 Z-5 <br />2. Operation Name: I / vf'li9l? bec-L & <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: 146 <br />Street: P o 9,c>X & 2 <br />city: CIu 1i r)-f5 6 n <br />State: Zip Code: ( ?`3 <br />Area Code: Telephone: 1?2 4 ( " 0 <br />4. Successor Operator: <br />Contact Person: 2 A a lUllenb-fC <br />Company Name: Q <br />Street: b '00 ?02 <br />City: &U n fi i S C yi <br />State: ( 0 Zip Code: ?!Z <br />Area Code: v Telephone: <br />IRS Tax ID No. or Social Security No.: <br />?/?xjx?'? 1 ?I <br />5. Application Fee: 30for Hard Rock operatio El. for onstruction Materials operations <br />Make check payable to the Division of Reclamation, Minin