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-2- <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />M-2-00z -)It <br />2. Operation Name: <br />3. Current Permitted Operator: <br /> <br />Contact Person: S? e,12? en Kasfr <br />Company Name: F-106"% e•„s"14er+" Jac. <br />Street: 3 S 6 5+-'AeyS Ave.- <br />J?/r+at7?e? <br />City: 6104, <br />State: co, Zip Code: S?SO / <br />Area Code: 910 Telephone: ?4I - 9310 <br />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />CRS Tax 1D No. or Social Security No. <br />r. Grate r CVA %A <br />as /-Joe?L% <br />Caesar, dG: qUy <br />Zip Code: 1442- 4 <br />S S S Telephone: 313-1300 <br />032 g7sZ <br />5. 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