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2- <br />lI. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />4l g$3-ot,-1 <br />I-A4A2Ae, l d6i-, =itc. <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: --?1+R?ZAL (.Jcb?, T,- <br />Street: ?01"TC CA&, J, IZ+4NC1A- ZOO <br />City: wt+w,? i •?s }C iL <br />State: C.. (7 Zip Code: !!gLC> Zl <br />Area Code: 303 Telephone: x.57 - Af;00 <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 />AC3EaQT ?/?E?4 ?o•.s. /??. <br />PD 30?w' 700 <br />/TEti?c?S o.?. <br />Co Zip Code: 8 Y.0 <br />3 <br />340 3 Telephone: Z8 ? "/ 49 <br />_8c/- 05/ 7779 <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