Laserfiche WebLink
° <br />O <br />O <br />Clerk #,wetFRecorder <br />Katie E. Barr, County Clerk & Recorder <br />615 Macon Avenue, Room 102 Canon City, Colorado 81212 <br />Phone 719.276.7330 <br />Fax 719.276.7338 <br />katie. barWremontco. com <br />RE: MINING RECLAMATION PERMIT <br />APPLICATION COLO STATE 34 -32- 112.10.8 <br />DATE RECEIVED J�Ia�ap i5 <br />NAME OF APPLICANTC_ �� <br />PERMIT -0(4(. <br />DATE OF HEARING <br />NAME OF CONTACT PERSON: <br />Vt e-kkq %& u phone # 2-7 1�; <br />please p ' t <br />Please check which box applies to your permit: <br />wish to be contacted 30 days after the hearing to pickup the application <br />I do not wish to pickup the application 30 days after the hearing and <br />herby give the clerk's permission to destroy <br />Signature a, <br />• <br />Date of Disposition Clerk <br />