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-2- <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />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 />AA 10113 - C( 1 -1 <br />La atzcae Wd6-'t 7rA <br />9010. - <br />(01-70 C.bt,K.iZeh (?4"c k Lt'?1u ? svu? t? ?-0O <br />i <br />Wr??w.?in.5}tiL <br />L (7 Zip Code: !9UC> ZI <br />03 Telephone: L 5-1 - -1 I.00 <br />/2 & ti /"reE / <br />ALt3?oa.T /?2Ei SoKS. /}+?. <br />Pa 30?-C' 700 <br />140:;&j 7t> 5 0,.. , <br />Co Zip Code: 8 O(o yo <br />e?d 3 Telephone: 2-8 9 8 3 -> <br />851-05/7799 <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