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2024-09-30_PERMIT FILE - P2024012 (2)
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2024-09-30_PERMIT FILE - P2024012 (2)
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Last modified
10/1/2024 9:47:53 AM
Creation date
10/1/2024 9:12:26 AM
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Template:
DRMS Permit Index
Permit No
P2024012
IBM Index Class Name
Permit File
Doc Date
9/30/2024
Doc Name
Notice Of Intent
From
Martin Jensen
To
DRMS
Email Name
ACY
THM
EL1
Media Type
D
Archive
No
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455 Shiow Mesa, (our-i- 456 5vtw. <br /> Street Street <br /> P.O.Box P.O.Box <br /> Cad atil(111D n C;()( 8(501 Giro) jovic41-01/- <br /> i CO( b( T <br /> City,State,Zip City, State,Zip <br /> ( /15 ) 150 6563 (775 -6563 <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 /> Pia, <br /> Principal Meridian (check one): <br /> 6th (Colorado) 10th Ute <br /> (New Mexico) <br /> Section (write number) / TOWNSHIP t N ✓ S <br /> RANGE E ✓ W <br /> QUARTER SECTION (check one): <br /> NE V1 NW SE SW <br /> QUARTER/QUARTER SECTION (check one): <br /> NE NW SE SW Nal <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br /> approximate elevation):Aft)6) i0\0644 3,6 rr 710 nor of- grad un c &tn c4i�vr�- c uct o�,52O` <br /> I <br /> Form 2-Public File Page 2 of 14 <br />
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