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-2- <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />M- /,79(.- 002- <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 /> <br /> <br />33/(. E 3/y goj <br />el,-P-fan <br />60 Zip Code: o Std <br />976) Telephone <br />j'??'te r ?2a. r-? <br />y3y - 770 <br />-f le- SW Group arc. Ab, LL1:7V??iit ;es off' <br />Mesa- Co?f? <br />,a73 ??ver /foacQ <br />G,?? t?uarcf:oH <br />e 0 Zip Code: 8/5-0 r <br />170 Telephone: -?'V 3 -Y goo <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