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I. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />-,( 3. Current Permitted Operator: <br />-2- <br />( - 2005 - O So <br />17231i0e 1-4%%I e <br />Contact Person: I& l j'el C/ / k S <br />Company Name: 1-Mue rye.k, EPLG'9V <br />WL??' /?/t? rit ?f <br />Street: /0 <br />City: 00 <br />State: j ? Zip Code: 9/ :12- 1- <br />Area Code: 970 Telephone: <br />4. Successor Operator: <br />Contact Person: `r y , <br />Company Name: Street: ?--- <br />City:0 <br />State: <br />(` Q Zip Code: Area Code: 9712 Telephone: ?r??f"7lgQ <br />IRS Tax ID No. or Social Security No.: "z o " 2-10 5 b fl I <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