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COLORADO LAND SURVEY MONUMENT RECORD <br /> ao+rtmn"of ReylOetory A9emns 02420 <br /> Board of Reystr000n for Profess+onal Enpmmrs and Pronssienal Land Swmyors V <br /> ,, 1560 Broadway,Sude 1370,Denver, Co 00202 nt <br /> Phone(303)894.77811 a Fax(303)$94-7790 a TDD LAe(W3)Hs.2900rs33 aYh OF RES <br /> REPORT ONE MONUMENT ONLY ON THIS FORM • REPRODUCTION OF THIS FORM 19 AUT OIw , <br /> AN News to tw Allied In by the Laird Surveyor using PERMANENT BLACK LZrTERM and flows wts"can be reproduced <br /> 1. TYPE OF MONUMENT WSECTION C0A#AR O QUARTER CORNER O BENCH MARK O OTHER <br /> I DESCRIPTION OF MONUMENT FOUND <br /> FC;v,,vp t G f1Grl.3AR 1W 6-4P. 15-k S 16163 `v✓,vo <br /> !/f/ /!90 5 TaIvC- <br /> 3 DESCRIPTION OF MONUMENT ESTABLISHED BY YOU TO PERPETUATE THE LOCATION OF THIS POINT <br /> 4, SKETCH SHOWING RELATIVE LOCATION OF MONUMENT,ACCESSORIES AND REFERENCE POINTS STATING <br /> WHETHER FOUND OR SET,SHOW SUPPORTING AND10R CONTRADICTORY EVIDENCE WHERE APPLICABLE. <br /> � f A <br /> CVC-4 ROAD TA6 t�s 2SQy6 <br /> W n <br /> t7E,v o TE 5 <br /> w r`C-Aj C L: <br /> T Z Z S �i:,�NO rNT/4 Yi�G <br /> b� �� L 5 /G163 <br /> � 13 I$ <br /> �L 5 CERTIFICATION <br /> This is to UM that I was In responsible charge or the survoymg <br /> f 4 Q 7 work described n On record and VW to the best of my iuwwledge <br /> the r dormaton presented heron is Uw and correct <br /> /o 3 Name(Pml or Type):_ K'614 A L D /'r• � �l <br /> Frm Num: V J,y 0 AAz .S N4 r +. r z:, <br /> Stamping on Cop FrmA4dress• Z?2Y4r ��Qc�.✓ 0qS,4Z:, <br /> a Date of Feld Work to Establish,Restore or Rehab+eate it O �o eR/O O - <br /> Morwment. / -/S`r^9 Phone 7f - S' D <br /> b Date Monunw t was Used ps�Qrdtpl-- <br /> 6. LOCATION DIAGRAM <br /> (Oo not rdl nI 1' = 1 Mile /,\\�A111111r11r1/r1 <br /> C e E PT E III <br /> ,�,..•��,00 R f <br /> X % •••• <br /> 7 r <br /> MAY 15 2060 + --� <br /> ss - <br /> coLo st.an.ar ItEc- �� ?�'' :� 1 <br /> FISR PE 00 PLS + �' ff eve••••�S <br /> �77//l1l1t111�1t1, <br /> RECEIVED AT OFFICE OF THE COUNTY CLERK <br /> COUNTY • = Location of Monument Signature/date through seal <br /> 7. SEC Id T ZZ5 R 7W , 6{ P N1 <br /> BY COUNTY QVt&O IND©( REF NTA4T1ER—j---N— <br /> DATE 8, SEC T R P 1`1 <br /> Record to be 1Jed by InAe+._Refettnce Number, COUNTY MEX REF hllfMSER <br /> Numerically slum.Alrh1bli wiliv under To be used only for moauoreou located on counly Imes <br /> a➢Propmte Township,Range,and Meridian <br /> •ywyYs +a�nno•r•o ow iRw 0I w) <br />