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n <br /> 3724 47th Street Ct NW <br /> Street Street <br /> P.O.Box P.O. Box <br /> Gig Harbor, WA 98335 <br /> City,State,Zip City,State,Zip <br /> 1 (253 ) 514-6661 <br /> Telephone Telephone <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 /> 5. <br /> LOCATION INFORMATION: <br /> County: Hinsdale <br /> Principal Meridian (check one): <br /> ® 61h(Colorado) 1Oth Ute <br /> ® . (New Mexico) El <br /> Section (write number) TOWNSHIP a N ® S <br /> RANGE [--] E FR-] <br /> W <br /> [D <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 1—DRMS Use and Confidential File Page 2 of 14 <br />