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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��a� <br />Drawer Number <br />Return Date <br />Received <br />Mailing <br />'l6 <br />RECEIVED <br />MAY 0 9 2013 <br />GRAND JUNCI ION FIELD OFFICE <br />DIVISION OF <br />RECLAMATION MINING & SAFETY <br />Mining and Reclamation Application for: Ql� 10AJz <br />Name of Pit or mine: <br />Date on which inspection period is over and application may be retrieved <br />Applicant: <br />M <br />Agent Signature: --� <br />For: - ,f I s » "i <br />Attest: County Clerk or Deputy: <br />