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MrtANVED <br />MAR 092017 <br />Agreement to Conduct Permitting by Electronic Means <br />OlViSION OF FtECLAMAnoN <br />s, MINING 4, SAFETY.MINBRALA <br />Please list all of the Permit Numbers and:`orNOI numbers associated with you or�%r liy:MAP <br />Name of Permittee: <br />Permit/NO[ Numbers: <br />W- tq$'0--&:!� <br />.Ull <br />Page 6 of 6 <br />613 <br />06 EQ O1 <br />PD <br />OA <br />Page 6 of 6 <br />