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N t <br />4 <br />it, ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br /> <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Hi -co ?- <br />A r+L?/ <br />r <br />I , ,cQ Su Je 229 <br />a. r) r <br />Zip Code: $??[L <br />Telephone: Z 0 9 y <br />Contact Person: 4.1 <br />Company Name: 16141 <br />Street: /,/:7 <br />City: r /f"I <br />State: _ r 0_ <br />Area Code: 'l 7lo <br />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />1R.S Tax 11) No. or Social `security No_ <br />Gal x t4? ne'r VNIS, LLC- <br />l6r? <br />C-0 Zip Code: ? l tc) <br />303__ Telephone:kL` -q-L.._ <br />?. Application Fee: S 115,00 for Hard Rock operations; $144.00 for Construction ,'Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety