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Proof of Filing with County Clerk <br />1, & k, & 11� 5 The County Clerk for _ C4-Cl_it? a -9 -A% -County <br />Have received a complete application package for a Hard Rock/Metal Mining Limited impact (110) <br />Reclamation Permit with the Colorado Mined land Reclamation Board under provisions of thp Colorado <br />Mined Land Reclamation Act. The proposed mine is known as the (Name of Mine) Lcv Jqx y;5 <br />and is located at or near Section I Township 'L5. Range ?qO. b'"- Principal Meridian. <br />Signature Date <br />