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10924 Leroy Dr 10924 Leroy Dr <br /> Street Street <br /> P.O. Box P.O. Box <br /> Northglenn CO 80233 Northglenn CO 80233 <br /> City, State, Zip City, State, Zip <br /> C20 ) 883-6700 (720 ) 883-6700 <br /> Telephone Telephone <br /> (303 617-9712 (303 1 617-9712 <br /> Fax Fax J <br /> 4. APPLICATION FEE: $86. (NOIs require an $86 fee which must accompany this notice <br /> or it cannot be processed by the Division). <br /> S. <br /> LOCATION INFORMATION: <br /> County: <br /> Principal Meridian (check one): <br /> I61h (Colorado) loth Ute <br /> M (New Mexico) FFT <br /> Section (write number) � TOWNSHIP � N � S <br /> RANGE F—] E F[—:]] W <br /> FD--1 <br /> QUARTER SECTION (check one): <br /> NE ❑ NW SE ❑ SW <br /> QUARTER/QUARTER SECTION (check one): <br /> NE NW SE ❑ SW <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br /> approximate elevation): <br /> Form 2—Public File Page 2 of 14 <br />