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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MIN" <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L O R A D <br /> LISPS Priority Trackin4 DI v , s , o N o <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 9410 8102 0088 2969 6710 07 MINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY mrj <br /> APPLICATION FORM Re FOR TRANSFER OF MINERAL PERMIT AND - CE eo M <br /> SUCCESSION OF OPERATORS <br /> B 13 <br /> mac <br /> ADMINISTRATIVE INFORMATI AtW nory <br /> -13 a0 l o <br /> Permit Information <br /> nn � <br /> Permit Number: <br /> Operation Name: ��.lL� Cajeevc P--a--r <br /> Permittee Information <br /> Contact Person: <br /> Company Name: -t <br /> Street Address: \\rj (� . �-�j,6E}( � o� Urb+ <br /> City: b-4-0Yp-r- <br /> 0 <br /> State: C© Zip: ��� o <br /> t <br /> Phone: ('�11°t- ) (a R"1 <br /> Email (optional): <br /> /b0 t�,oG��l i�Ity <br /> Prospective Successor Information ✓ � <br /> Contact Person: �.I �NC <br /> r< <br /> Company Name: M.%�L-e CQ 1L, c¢-A'clEL <br /> Street Address: j CX!yn p�,�—t�} UDGE$T �EC&Y . Afi <br /> City: L1=)=0LA0,Z t 2�. ✓4 M I n--rvx F =a P4 <br /> State: (1C-5 Zip: <br /> Phone: 01tq <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />