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<br />'J <br />- <br /> <br />COLORADO LAND SURVEY MONUMENT RECORD <br /> <br />D~ 01 R.gulGtM1/ ..,meW. <br />Board of R.gistrat(,cm for p,.,,/.DitmGl Bnt/Wcn and p,.,,/~ Lom.tl SU'MJ8'IIVf'S <br />f660 Broad.wG7l. Srdt. f3.,0. IJ-. CO 80202 <br />PhtnM (808) 894-7788 · F_ (808)' 894-.,790 · TIJD (808) 894-Z900X888 <br /> <br />REPORT ONE MONUMENT ONLY ON THIS FORM - REPRODUCTION OF THIS FORM IS AUTHORIZED <br />items to be filled in by the Land Surveyor using PERMANENT SLACK LETTER/NO and lines which con be reproduced <br /> <br />TYPE OF MONUMENT: 0 SECTION CORNER 0 QUARTER CORNER 0 BENCH MARK . OTHEP AFttAL. <br />/ CJ:>>rrP-OL <br />N A <br /> <br />All <br /> <br />FOUND: <br /> <br />DESCRIPTION OF MONUMENT ESTABUSHED BY YOU TO PERPETUAlE THE LOCATION OF THIS POINT: <br />'SIT 31/4/1 AUAMltJ\i\M c..AP ON A 2.411 LOJVG- 'US' gflSJ1K.. <br /> <br />SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REf'ERENCE POINTS STATING <br />WHETHER FOUND OR SET, SHOW SUPPORTING ANDjOR CONTRADICTORY EVIDENCE WHERE APPUCABLE: <br /> <br /> <br />.. ~om <br />o ~.< <br /> <br />0/(. I <br />lv~ <br /> <br />4. <br /> <br />- I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />MONUMENT <br /> <br />DESCRIPTION OF <br /> <br />2. <br /> <br />3. <br /> <br />~ <br />!: <br />~ <br /> <br />~ <br /> <br />~ <br />j <br />8~' <br /> <br />: <br /> <br /> <br />of the <br />to the <br />herein <br /> <br />CERTIFICAnON <br />Thie Ie to ce:~ that I woe In rwponeIbIe chorge <br />eu~ng '110 eecribed In thIe record and that <br />beet of my kIlowlqe the Information pr....,tect <br />Ie true and COl'NCt. <br />Nome (P'-e Print):. <br />Firm Nome:.,J <br />Firm Add_: <br /> <br />~ /WE <br /> <br />5. <br /> <br />LOCATION DIAGRAW <br />1 ~ = 1 Mile <br /> <br />6. <br /> <br />StampIng on Cap <br />Date of "old _ to E.\obIIoIl. R.... or RMlablItoto <br />"'-'merIt, <br />Date 1Io/lllmlflt _ UMd 01 Control. <br />.... fill ...) <br /> <br />o. <br /> <br /> <br />copy <br /> <br />IICEIVI:D AT omcz or THE COU1lTY' a.IRIt <br />COUNTY <br /> <br />b. <br /> <br />SillnQtu~/Dote thl'Oll9h Seol <br />~ /0 z. ~ , eo:!:h P.W. <br />INDIIlX RIF NU:w:BIR 17. q - <br />L..~ <br />, p.lL <br /> <br />. - Location of Monument <br />SEC 'ZS T~ <br />COUNTY AO~MS <br /> <br />SEe 7_ <br /> <br />COUNTY JNDIIlX REF <br />.. To loa UII8d oaI7 for 1D.......u IoMW 011 -'7 IIIMa <br />RttI.O(/OO <br /> <br />7. <br /> <br />--8. <br /> <br />N.T.S. <br /> <br /> <br />BY~ <br />DAm: <br /> <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />