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0 _- STATE of COLORADO
<br /> DIVISION Or RECIAMATION,MINING AND SAFETY
<br /> Depar'ment of N'atura� Resources
<br /> 13 13 5h-,�rmap),., ,loom 215 tk
<br /> Denver, o orcCo e+)20� C O L O R A D O
<br /> V i V i S 1 0 N O F
<br /> ?hone.t303i air-3 , ;' Document Imaging CDIDVD TION
<br /> -�< 03183-.8 06 RECEI�'� `NG
<br /> REQUEST FORIM &_
<br /> SAFETY
<br /> JUN 17
<br /> doctiment images on the following DRINIS Permit.
<br /> DIVISION OF RECLAMATION
<br /> 2; Iti1_dGC1- 03tp 3) — _ 4) _ MINING&SAFETY
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<br /> 11 (c7r5`.')0 per disE: i'�`D lam' *20.Ot:: per disl
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