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Proof of Filing with County Clerk <br /> 1, j v�- D��h o„ The County Clerk for Clear Creek 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 the Colorado <br /> Mined Land Reclamation Act.The proposed mine is known as the(Name of Mine) Lombard #3 <br /> and is located at or near Section_1_,Township_3_-,,Range.,.._,74. W_Principal Meridian. <br /> Signature Date <br />