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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MI' <br /> Department of Natural Resources <br /> M 1986-07F S003 C O L O R A D O <br /> 1313 Sherman St.,Room 215 D I V I S I O N o f <br /> Denver,Colorado 80203 v/Complied' 4 Violatiors RECLAMATION <br /> Phone:(303)866-3567 15 PAiror Infra(,:iuns L�Wtthm/jxt MINING <br /> FAX:(303)832-8106 `NO PAYMENT INCLUDEDII —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: —Ce2 <br /> Operation Name: lt'�1 C �c�� � C,j t)j- <br /> Permittee Information <br /> Contact Person: <br /> Company Name: <br /> Street Address: f (C`7"7 C40 WL3 INnal A �p l E <br /> City: �tWbg t? SZE unLzs <br /> State: Zip: -7C�7__1sJ <br /> Phone: (Ic� } ��� �4-7 <br /> Email(optional): <br /> Prospective Successor Information <br /> Contact Person:ARoAj z gA <br /> Company Name: hybl y 41 911 LL c <br /> Street Address: gy3)- 9— <br /> City: /�,ESPEI�US <br /> State: CO Zip: 9122 <br /> Phone: (97 8/OI <br /> Email(optional): Q o Y Y6 �AQD.GD Jt_ <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />