Laserfiche WebLink
-2- <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />>C 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 ID No. or Social Security No.: <br />/LI - 2ons-- oSo <br />c.7^!3>iGe 'Ole <br /> <br />I-eh4e rWCk EKea-go_y??o.?af?ovc <br />" /r/li< < it c?Jf <br />/0 West <br />&710ra.wI0 Zip Code: 913 Z / <br />970 Telephone: <br />TT a <br />A/Cj <br />C0 Zip Code: 5sL :e2 <br />'?70 Telephone: <br />'zo -270sb/ft <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety