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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L O RA D O <br /> DIVISION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND O - o 5 Z <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: )0O I - Q a <br /> Operation Name: I r IC f na.I C PLL^ <br /> Permittee Information <br /> Contact Person:, l M M 'Co r m t&k <br /> Company Name: Ctra_SSQ r .0O r>S�Q i'uK 00 --� u C- <br /> Street Address: Mpg � I {-� ��h, J aq <br /> u I <br /> City:s{xQlton <br /> State: 0 Q Zip: Bo-8 3(o <br /> Phone: ('1 l 9 ) 3 y Z S 3 8 3 <br /> Email (optional): Meje-or, VY\cd(- [ L C (a ph o p c)irn <br /> Prospective Successor Information <br /> Contact Person: �dY� �C r ►�� <br /> Company Name: WC- ay M L LL 4 O.-t_3 kn p, L L- <br /> Street Address'Sc'yg w--' 4L GV.I L 1 , A a� <br /> City: n <br /> State: �`0 Zip: p <br /> Phone: (`-t l� ) �� SP, �C�l!/ <br /> Email (optional): YYtiC-CSJt M L C_ L, a_ e,z C,V-\ nr� <br /> 0N0FP 8,014 <br /> Nriy�4NDS�MATi°N <br /> Office of r Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br /> ✓/+r- a- RP► 9-2-1� ✓[Lb If`aICA - 0n-5 <br />