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1205 H Lane <br /> Street Street <br /> P.O. Box 297 <br /> P.O. Box P.O. Box <br /> Naturita, Colorado. 81422 Delta, Colorado. 81416 <br /> City, State, Zip City, State, Zip <br /> 505 ) 350-5241 ( 970 ) 874-2880 <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 /> — 6th (Colorado) 71 10th — Ute <br /> IV I (New Mexico) <br /> Section (write number) 34 TOWNSHIP 46 N j S <br /> RANGE 18 E W (� <br /> QUARTER SECTION (check one): 'v I <br /> NE NW SE III SW <br /> QUARTER/QUARTER SECTION (check one): <br /> NE NW SE U 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 />