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<br />.2. <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator: <br />REC ED <br />JUN 0 4 2008 <br />Division o, Kedamation, <br />Mining and Safety <br />/VI-/986-id/ <br />'pa pes -P,7 M'. t <br />Contact Person:,} I c e !?G C ?e S <br />Company Name: [,U /FGTGse 7 po P? <br />Street: 9'7y 9 srr Te /liyt wft / GS <br />City. <br />State: (942 Zip Code: 9164"F <br />Area Code: 9 Telephone: 499 - 24 / <br />4. Successor Operator: <br />Contact Person: /,q&•, 106ol/-A-s <br />- - Company Name: 1- /?Olo? y k.JC. , <br />street: 9? X19 Srnre c?rr=, /G JJ <br />City. <br />State: Zip Code: P-'0,0 <br />Area Code: 7 /9 Telephone: Z9-9- 2Y.,14 <br />IRS Tax ID No. or Social Security No.: _ 9 S/ - 33f a 9 a 9 <br />5. Application Fee: $100.00 for Hard Rock operations; $125.00 for construction Materials operations <br />Make check payable to the Division of Minerals and Geology