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P.O. Box P.O. Box <br /> -Moxne VAnA , CD SIM- S A ME <br /> City,State, Zip City, State,Zip <br /> S A WL llblv <br /> Telephone Telephone Q` <br /> Fax Fax <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 /> AA <br /> Principal Meridian (check one): <br /> 9 6th (Colorado) 10th Ute <br /> � (New Mexico) <br /> Section (write number) TOWNSHIP ® N S [mo <br /> RANGE F7-(- <br /> E F W [g <br /> 0]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 /> ! Y-- tit, Es N o mi as-r To _o Mb • A PpoLOK. E,ev: 7.,sso <br /> Form 2—Public File Page 2 of 14 <br />