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CiZ3 <br /> Street Street <br /> P.O. Box P.O. Box <br /> CC) lC C L <br /> City,State,Zip City,State,Zip <br /> (-9-0o) �� . �l '6 k ( ) <br /> Telephone Telephone <br /> ( ) ( <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 /> 6th (Colorado) 10th Ute <br /> (New Mexico) <br /> Section (write number) TOWNSHIP q N ® S <br /> 1 <br /> RANGE E ❑ W <br /> QUARTER SECTION (check one): �•J <br /> NE El NW SE E SW LI <br /> QUARTER/QUARTER SECTION (check one): <br /> NE 111 NW SE SW VI <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br /> approximate elevation): <br /> 9 • - • a <br /> LI( ; CY, C \-�A' c -, Cmo, CO� <br /> Form 2—Public File Page 2 of 14 <br />