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242 Linden Street 242 Linden Street <br /> Street Street <br /> P.O. Box P.O. Box <br /> Fort Collins, CO, 80524 Fort Collins, CO, 80524 <br /> City, State,Zip City, State, Zip <br /> V20 ) 258-6329 (307 ) 256-8930 <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: <br /> Principal Meridian (check one): <br /> © 611, (Colorado) � 10th � Ute <br /> (New Mexico) <br /> Section (write number) TOWNSHIP N S [E-]] <br /> RANGE F—] E F[—]] W <br /> Fo-] <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 2—Public File Page 2 of 14 <br />