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�.3 A) ��©.�c� r, (, -,)AiM�. S k, i van w.� V YZ� <br /> Street Street <br /> ZCx �g6 <br /> P.O. Box P.O. Box <br /> A\ V'r1 G 1 C'0 . Q;o �-Vzl-y <br /> City, State, Zip City,�tate, Zip <br /> ( I \` ) LINO 3(1AA ( `1'10 ) C' �'g - 0CA7 9 <br /> Telephone Telephone <br /> (`'t70 ) ( k 8 - 0 C�'7 q <br /> Fax Fax <br /> 4. APPLICATION FEE: $86. (NOls 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 /> �QrV, <br /> PFI Meridian (check one): <br /> (Colorado) loth Ute <br /> El (New Mexico) <br /> Section (write number) TOWNSHIP � N � S <br /> RANGE .fig E F[—:] W <br /> QUART 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 /> f7Qr�X. t % v.ec��' iM� ��,S S :W , 1yv�� .L�. ��enj +gip V�L-lGq <br /> Bofkorn �t 800 <br /> Form 2—Public File Page 2 of 14 <br />