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II. ADMINISTRATIVE INFORMATION: <br />I . Permit Number: <br />2. Operation Name: <br />-2- <br />Make check payable to the Division of Reclamation, Mining and Safety <br />Or) -- i9 3 — 090 <br />3. Current Permitted Operator: <br />Contact Person: 0") ) t.) &}v <br />Company Name: (c 2e <br />Street: W, I C C' -- i' ∎ C �f <br />City: 1Y) C <br />State: CC) Zip Code: <br />Area Code: C 3 - 7(.) Telephone: - T J 7 7 <br />4. Successor Operator: <br />Contact Person: 1fl IC_ ) k-%\00 <br />Company Name: — u'+ Ct��c: (:'>A I �a� . 1iLC <br />Street: 1 CQ &* xu. y <br />City: <br />State: i Zip Code: 6 OS4. i <br />Area Code: X 7 7[) Telephone: "1e, <br />IRS Tax ID No. or Social Security No.: 1 � 4 - (° E3 S rs C f�l <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />