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for <br /> Clerk and Recorder <br /> � j,ij 1 •v <br /> Katie E. Barr, County Clerk & Recorder <br /> ^[5. <br /> 615 Macon Avenue, Room 102 Canon City, Colorado 81212 <br /> Phone 719.276.7330 <br /> Fax 719.276.7338 <br /> katie.barr(a fremotttco.com <br /> RE: MINING RECLATMATION PERMIT <br /> APPLICATION COLO STATE 34-32-112.10.8 <br /> DATE RECEIVED <br /> NAME OF APPLICANT — <br /> PERMIT # I UVa <br /> DATE OF HEARING '-- <br /> NAME OF CONTACT PERSON: <br /> ,t&�zL— phone <br /> Please'pri <br /> Please check which box applies to your permit: <br /> I 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 <br /> • Date of Disposition Clerk <br /> 3/2/2016 VAJANTormsVeclamation form doc <br />