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C~ <br /> <br />• <br />I1. Remarks or any other pertinent information: <br />STATE OF COLARADO l <br />COUNTY OF ARAPAHO>± 1 ss. <br />roue d Appl~al Iv A~ar,l <br />AOfn~ d A~c~ Iv Mb~ryi <br />y„y,~„e. (303) 930-4116 <br />A,,,,,, ox~ ~, OD 11419 <br />1. John W. Patrl ,state under oath that 1 have read this application and <br />verify its contem. / -t (;~,a~ <br />W <br />Aopr.. <br />Subscribed under oath before tM on Atiaust .3 1993 <br />a! <br />Afy co~~tmission expires: 11/18/96 <br />/~~~ . L <br />Wvr hYe <br />App. 4.6-0-14 <br />September 7, 1993 <br />