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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 ? <br /> Date ACPI 0 <br /> Received From /���'� r�f. dhlad <br /> Mailing Address <br /> Mining'and Reclamation Application for: <br /> Name of Pit or mine: �kv� 5 tje- plac�r TWO <br /> Date on which inspection period is over and application may be retrieved by <br /> Applicant: <br /> Agent Signature: <br /> For: d �� <br /> Attest: County Clerk or Deputy.: <br />