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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY Ma 5 <br />Department of Natural Resources <br />1313 Sherman St., Room 215 COLORADO <br />Denver, Colorado 80203 A I V I S I O N o f <br />Phone (303) 866 -3567 _ ��'� Y1 il.C^ -� f� M MINING <br />N <br />FAX. (303) 832 -8106 —&— <br />SAFETY <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />RECEIVED <br />Permit Information <br />Permit Number: <br />DIVISION OF KMAMATIC <br />Operation Name: { aqkke MINING AND SAFETY <br />Permittee InArma o'n <br />Contact Person: �e " ((�Ct WC <br />Company Name: SprQAlt -P �s �2ivtc.2 n L <br />Street Address: 55 /le q Cb 1ZA Z-Z <br />City: (4 L& MCL , <br />State: CCU Zip: S075- 5F <br />Phone:-(170 ) (D,2 091 <br />Email (optional): yG ?'//++ C'-rrtS yaAgo. cols, <br />Prospective Successor Information <br />Contact Person: J e �� Sor n.gtef- <br />Company Name: J C -!Fa—r ms I rt C <br />Street Address: q 6v Rd ZZ <br />City: Gf "r" <br />State: LCD <br />Zip: 30757) <br />Phone: J 970 ) W 0' 0858 <br />Email (optional): 1,c Ak -MS % 9 98 C ya A vv , Cv r71 <br />Office of <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />