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DIVISION OF MINERALS AND GEOLOGY <br /> CONSTRUCTION MATERIALS <br /> Limited Impact 110 Mining Operation <br /> Application Worksheet/Checklist <br /> New App: Amendment App: Conversion App: <br /> Operator: m 1 0 Lon r o b\ Mine ID: 0-) 2 bo 3 0-7 ?i <br /> Mine Name: C,0,n4 n Submittal Date: <br /> APPLICATION FORM (Rule 1. 6 .2 and 1.6 .3) : <br /> ITEMS 1 2 3 4 5 -6 <br /> COMPLETED <br /> ITEMS 7 8 9 10 11 12 <br /> COMPLETED <br /> ITEMS CONV/AMEND PERMITEE SIG <br /> COMPLETED DESCP RESP <br /> 1 2� <br /> 4i 5V6v <br /> 1XI 7✓a/9✓ <br /> MAPS and EXHIBITS (Rule 6 .2 & 6 .3) ADEQUACY COMMENTS <br /> EXHIBIT A - 6 .3 . 1 - LEGAL DESCRIPTION & LOCATION MAP /� <br />