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MOFFAT COUNTY CLERK AND RECORDER <br />221 W. Victory Way <br />Craig, CO 81625 <br />(970) 824-9104 <br />MINING/ RECLAMATION FORM <br />File Number <br />Drawer Number <br />Return Date k 7 -M <br />C <br />R <br />��fICE <br />GRP JU0 <br />1\,Ig1oN 0 ;AFEN <br />RECIAMg\ON MINK <br />Mailing Address <br />Mining and Reclamation Application for: �� n �-^�s <br />Name of Pit or mine: 1� <br />Date on w ich inspection period is over and application may be retrieved <br />Applicant: <br />Agent Signature <br />For: d — "JI. b- 0 *-J t� S <br />Attest: County Clerk or Deputy: <br />