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• <br />Name: Cripple Creek & Victor Gold Mining Company <br />Mailing Address: P.O. Box 191 Victor, Colorado 80860 <br />Phone OFFICE: (719) 689-4056 HOME: <br />FAX: (719) 689-4056 e-mail ggoodrich@anglogoldashantina.com <br />ATTACHED: WRITTEN, NOTARIZED, AUTHORIZATION AND CONSENT FROM ALL <br />PROPERTY OWNERS FOR AUTHORIZED AGENT TO ACT ON THEIR BEHALF <br />NOTE: All correspondence regarding this Application will be addressed to the Authorized Agent or <br />Representative UNLESS otherwise requested. <br />Name: Mike Lust, Foresight West Land Surveying Inc. <br />Mailing Address: 12424 East Weaver Place Suite 100, Englewood CO 80111 <br />Phone OFFICE: (303) 504-4440 HOME: <br />FAX: (303) 759-0400 e-mail <br />Name: Please refer to individual reports included as Appendices to the DRMS application. <br />Mailing Address: address and contact information as above <br />Phone OFFICE: HOME: <br />FAX: e-mail <br />Legal Description of Property: <br />See Attachment 3 for Complete Legal Description <br />X If Subdivision, name: <br />Lot Block Filing Tract <br />X If Metes and Bounds : Section Township Range OR Attach a <br />legal description and survey depicting the property boundary. <br />X If Mining Claim(s), include name(s) and Mineral Survey Number(s): <br />Street Address: <br />Assessor=s Tax Parcel Identification (Pld) No(s). <br />NOTE: IF LESS THAN THE ENTIRE PROPERTY IS THE SUBJECT OF THIS APPLICATION, ALSO ATTACH <br />• A LEGAL DESCRIPTION OF THAT PORTION AFFECTED. <br />(to be provided in detailed Application) <br />Total affected acreage: See Section 1 of Attachment 1, Prolect Description <br />Zoning of property: CCMOD <br />Page 2 of 3