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Street Street <br /> P.O. Box 776 P.O. Box 776 <br /> P.O. Box P.O. Box <br /> South Fork, CO 81154 South Fork, CO 81154 <br /> City,State, Zip City, State,Zip <br /> (719 ) 306-3065 (719 ) 306-3065 <br /> Telephone Telephone <br /> C <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 /> S. <br /> LOCATION INFORMATION: <br /> County: Fremont <br /> Principal Meridian (check one): <br /> ® <br /> 6th (Colorado) loth Ute <br /> El (New Mexico) El <br /> Section (write number) � TOWNSHIP 17 N � S <br /> RANGE F7-3—] E [7F] W <br /> [T <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 /> 30 miles NW of Canon City (N on Hwy 9 to CR2 to CR 21); 8500 ft. elevation <br /> Form 2-Public File Page 2 of 14 <br />