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.S�-rel <br />C� <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) 888-3567 <br />FAX: (303) 832-8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />Permit Number: <br />Operation Name. <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />--- &L— <br />SAFETY <br />RECEIVED <br />OCT 20 2017 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />Permittee Inform <br />Contact Person: <br />Company Name: <br />5A <br />& 40d' <br />P; 4- W4&KA4^ <br />Street Address: lg�"1-; �} 2 -T <br />City: VQAL� <br />State: Lel, l A1-� Zip:?� <br />Phone: <br />Email (optional): ,(aA <br />t� <br />Prospective Successor Information <br />Contact Person: , £ Aj <br />Company Name: 61 CO-rq CO-rE, Y E Lp o A; dA 5f a v 64 1 t� LLC cel-pP�Fj��j g <br />Street Address: �,t► 5: !a 50 S otr 1 3o t >4s '1104,L, '.PO aox l 1 0 <br />City: vd n4L <br />State: V 4*16. Zip: <br />Phone: ( 13-5 � ` <br />Email (optional): Mjj6t.._1 gfr.,J� c a�vn• C <br />Office of Office of <br />Mined Land Redamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />