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9107 E Chenango Ave <br /> Street Street <br /> P.O. Box P.O. Box <br /> Greenwood Village CO 80111 <br /> City, State, Zip City, State,Zip <br /> ( ) ( <br /> Telephone Telephone <br /> ( ) ( <br /> Fax Fax <br /> 4. APPLICATION FEE: $86. (NOls 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 /> n6th (Colorado) 10th Ute <br /> n (New Mexico) n <br /> Section (write number) TOWNSHIP N S <br /> RANGE E ❑ W <br /> QUARTER SECTION (check one): <br /> NE NW SE SW n <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 c f 14 <br />