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V 2 002062�, <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information r _ 6-�11 <br />✓ Permit Number: 111A <br />Operation Name: tkl;od V /� j <br />Permittee Informattion <br />Contact Person: / 010 1p� ft% k9fl) <br />COLORADO <br />DIV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />v- A,JO' 18 2015 <br />DIVISION 0017 REWMATION, <br />MINN'G 41D SAFETY <br />% Company Name: C— oK <br />Street Address: 3), 62 �- 6A 3, 7 . P, ox 7.32 <br />City: <br />State: -l�r� �l n Zip:: l <br />Phone: (/ 1 q ) -336 ` 77 <br />i <br />Email (optional): Karn 6V <br />Prospective Successor InLformation <br />ContactPerson: <br />Company Name <br />Street Address: <br />-e_ Cc, ++4- <br />I-,-- <br />T�(,s <br />L.L <br />fr <br />City: L&wt(kr <br />State: C -",C) Zip: (2 i D <br />Phone: ( 7/ 7 ) f / $ <br />Email (optional): jLf b vt. Uvt r ( 4 �����/ C ClkA <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />