PERMFILE44628

• Permit No: M1997089
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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p, Complete keno 1 end/or 2 for additional sarvicee. I also N sh to receive the
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return this pertl to You.
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v ;7. Article Addresssd to: 4a. 4ni cle Number ~
m 1ifOPl'PEZUMA• COUNTY COMb1ISSI0N RS P 131 67182(~'~
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RM 302
09 W. YIAIN STREET
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COLORADO 81321
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5. Signature IAddresseel
8. f+ddressee's Address (Only it requested p- ,
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> Pi Form 3811
December 7591 OU.a.GPO:lea~ae2~71a DOMESTIC RETURN RECEIPT
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P ;131 671 826
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provtdad.
Do npf use for International Mail lSee reversal
~I~°tezuma County Commissio
~~~BG'1'ebs~ Main St. Rm. 302
P Office, Slate Cade
Cortez, t~o~orado
81321
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Certified Fee 1.3 5
SpedN DelNery Fea
lksMged Delivery Fee
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1.10
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