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-2- <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />M-.2002 - o <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 />Amon P, f- <br />Davi ?cree- <br />Grgve/ <br />P, o. 13vx 36v <br />' lilccGi O <br />C-?d Zip Code: 7 <br />6170 Telephone: 663 _ 5-712 <br />Oldcustle- <VV G m?l? /j <br />LLB;fed ?Or?-tf <br />-2,-2 7 3 Ri oe2 kDaZ <br />z'fr" d Vl' ?c-T;Oh <br />C O Zip Code: <br />970 Telephone: -?2y 3 - 73bg <br /> <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