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455 SOW Th (curl- 455 • trticui ill (mil-- <br /> Street Street <br /> P.O.Box P.O.Box <br /> Cram 6trami )L44'Cin MI $(567 G,s-twj jovA-ov- <br /> i Co' P f Sol <br /> City,State, Zip City, State,Zip <br /> ( /15 ) 356 6563 (77'S ) 70 -656.3 <br /> Telephone Telephone <br /> l ) l ) <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: /A e&a <br /> Principal Meridian (check one): <br /> 6th (Colorado) 10th 41 Ute <br /> (New Mexico) <br /> Section (write number) TOWNSHIP N S <br /> RANGE E ✓ W <br /> QUARTER SECTION (check one): <br /> NE 171 NW SE SW <br /> QUARTER/QUARTER SECTION (check one): <br /> NE NW SE SW Fri <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br /> approximate elevation): 1 `� <br /> AO)coxtin 3.6 m Ills (1U4' � a �Ju 1c aV1 ally Ithtictk7y� 5210\ <br /> Form 2-Public File Page 2 of 14 <br />