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RECEIVED <br /> 'SEP 13 2021 <br /> ;� Proof of Filing with County Clerk <br /> s . DIVISION OF RECLAMATION <br /> MINING&SAFETY <br /> C I", the County Clerk for Clear Creek County County; <br /> have received a`complete applies ion 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 Mined <br /> Land Reclamation Act. The proposed mine is known as the (Name of the Mine) Lombard#3 , <br /> and is located at or near Section 3 , Township 3 , Range 74W , 6th Principal Meridian. <br /> Signature Date <br /> go <br /> 9 ..........CRf !6' <br /> • <br /> • s {�• <br /> � ••c�l'Sfee*1�N $� <br /> 0 <br /> s <br />