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II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />-2- <br />p r y ) ciq — 06 o <br />3. Current Permitted Operator: <br />Contact Person: ) —SO 14 J <br />Company Name: - 2 . . i - 2 u > r + ` ) ( a`)2 r 1 t�cO <br />Street: .SC i CC 4.... J;'z- (` <br />City: 4M li_i_lu�•-' <br />State: Le) Zip Code: () S4 <br />Area Code: ©i ) 0 Telephone: ST( - 747 - ) <br />4. Successor Operator: <br />Contact Person: )7Y Aiek <br />Company Name: a5 ("N.( ..-12:4c r,eSWA,t.r ] -s-r� <br />Street: ,30 / (�,+,%-k€ 00;A <L � <br />City: ✓Y�` �� <br />State: (4 -) Zip Code: 00S <br />Area Code: 9 .--)3 Telephone: S( d` <br />IRS Tax ID No. or Social Security No.: 634 - 0 (),- 0416 <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 <br />