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9 ` 7 . <br />-2- <br />II. <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator: <br />YY1 %qqO OS <br />..- <br />?- <br />Contact Person: J ?ko ?iOw 1.D"(= <br />Company Name: C.?p? i L ?O?o A-% %of) <br />Street: °?l (o t3?Rv?vL i 1 {? ?l.Ot?Q <br />City: ?? ?O2lC i y <br />State: N Zip Code: 1000 S <br />Area Code: -, Z Telephone: A 4- 2-1 V S <br />4. Successor Operator: <br />Contact Person: i%A10VAAS NV= IJDQ1Ck5 <br />Company Name: Q-PiLpt1,5 ?ESOCS€ZCC°'S QzL02Kb0q-X Vic. <br />Street: A k$ S C t pn b ov ? o Map <br />City: 1J EU ER-L, PIN rN <br />State: Zip Code: O ©9 fo b <br />Area Code: Telephone: <br />iR.S 'T'ax 11? No. or social. Security No. ? <br />5. Application Fee: l 15.00 for Hard hock operations.; 144.00 tbr Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety