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2021-09-24_REVISION - C1981010 (18)
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2021-09-24_REVISION - C1981010 (18)
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Entry Properties
Last modified
10/7/2021 9:44:37 AM
Creation date
9/27/2021 5:40:48 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
9/24/2021
Doc Name Note
Sept 7, 2021 Inspection
Doc Name
Notice of Inspection
From
DRMS
To
Jerod Smith- Colorado State Land Board
Type & Sequence
SL23
Email Name
RAR
JLE
Media Type
D
Archive
No
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COMPLETE .N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X O Agent <br /> so that we can return the-�ard to you. E3Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1 A�W-A,,d.. -�'' - - — I. Is delivery address different from Item 1? 0 Yes <br /> If YES,enter delivery address below: ❑No <br /> Jered Smith <br /> Coloradoate Land Board <br /> 2667 Copper Ridge Circle Unit 1 <br /> Steamboat Springs , CO 80487 <br /> II I F11111 <br /> III ��)II I I III II II I I II IIII III)III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑R:91stered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 5506 9249 0543 57 ❑Certified Mail Restricted Delivery ElReturn Recelpt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service iaban ❑Collect nn Delivery Restricted Delivery ❑Signature ConfirmatlonTM <br /> lail <br /> El Signature Confirmation <br />_ <br /> ?018 2290 0001 8923 0697 lail Restricted Delivery Restricted Delivery <br /> juver aouO) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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