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Zvi STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St,Room 215 C O 1 <br /> I V O RA D O <br /> f\ ,� DISION OE <br /> Denver,Colorado 80203 U RECLAMATION <br /> Phone:(303)866 3567 MINING <br /> FAX.(303)832-8108 :5 <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND V�f I l <br /> SUCCESSION OF OPERATORS q[24 <br /> ADMINISTRATIVE INFORMATION RECEIVED <br /> Permit Information JUL 1 1 2017 <br /> Permit Number: /q- a o 0 6 -y 7 <br /> 1 , ° P- I loci of Reclamation, <br /> Operation Dame: Z,p,w a n n Mining&Safety <br /> Permittee Information / I <br /> Contact Person: !�4 / C,kg a S. ��( �e �!7* <br /> Company Name: _ Pr p"M I el- �, 1 t e-4 L L C <br /> Street Address: ,S'd o r 0 , C d,V n n r A/v d L -6 f. z-a 0 L 4 14 W <br /> City: =r <br /> State: r-� "Zip: `7S703 <br /> Phone: t Q?.1 ) Flo 9 - -S 6 13 ✓ v�✓I�1 � J <br /> Email(optional) 4j7 t CA,,♦ L lelt�rS —!Prrh Pr Sr 1 c� L D A-1 <br /> Prospective Successor Information <br /> Contact Person: �-F�2 r (h• ij ►' Q 01! MARTA L • 1 h t'!.Z <br /> Company Name: ° I"n/ L L G <br /> Street Address. 4 rQ C}4 r l <br /> City: DYGL. CL�- P r i <br /> State: O D y- - 0 ZIP: <br /> Phone: ( , 1�) (S3- (a 43-7 <br /> Email(optional): ° OL a0p C0 rA aQ �t n <br /> LOP <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Adive and <br /> Inactive Mines <br />