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Street Street <br /> P.O.Box P.O.Box <br /> City,State,Zip City,State,Zip <br /> Telephone Telephone <br /> Fax Fax <br /> 4. APPLICATION FEE: $86. (NOIs require an $86 fee which must accompany this <br /> notice, or it cannot be processed by the Division). <br /> 5. LOCATION INFORMATION (See Table 1) <br /> County: Montrose <br /> Principal Meridian (check one): <br /> ❑ 6th (Colorado) ® 10th (New Mexico) ❑ Ute <br /> Section (write number) TOWNSHIP 45 N Z S ❑ <br /> RANGE 18 E ❑ W Z <br /> QUARTER SECTION (check one) <br /> NEZ NW SE SW El <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 /> See Table 1 <br /> • <br /> Form 2-Public File Page 2 of 14 <br />