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MOFFAT COUNTY CLERK AND RECORDER <br />221 W. Victory Way <br />Craig, CO 81625 <br />MINING/RECLAMATION FORM <br />FILE NUMBER _-.{-~ (~ <br />DRAWER NUMBER /-~-~' ®'Vl D 1!>l'~ <br />RETURN DATE ] - CS2 '~Yl O ~~ U <br />DATE ~ ~~ <br />RECEIVED FROM TRa,p.~e~Z. ~Ll, <br />WHOSE MAILING IS <br />~~ <br />TELEPHONE NUMBER ~ ~ o ~ ~ ~~ ^ ~ ~ ~' <br /> <br />MINING AND RECLAMATION APPLICATION FOR: <br />NAME OF PIT OR MIN ~~ L~ <br />DATE ON WHICH INSPECTION PERIOD IS OVER AND APPLICATION MAY BE <br />RETRIEVED BY APPLICANT:_ ~-~ (p y'}'~/7~ <br />AGENT SIGNA~.~ ~. ~~~~~ <br />ATTEST: COUNTY CLERK OR DEPUTY <br /> <br />cl'` ~~~\b`~ <br />~' ~ <br /> <br />