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08/03/2001 21:59 9707852715 JANE ANN JOHNSON <br />MUb YG GUYI aa.•./1.... ~. ..__. <br />!Yt-ia-a1 ti:~tPtl ittil-t:olorado 1ava~aaa of ain•n4 t Gwlosr ~I7W1@BrtiT T-IN P.Oat+/a11 F-all <br />srA~ o~ coLOSAno <br />MINED LAND RECLAMATION BOARD <br />PAIL/TY STATIJ5 FORM <br />ht the metal of Fik No. M~s~ p 'Y ~ , Ptrmit/Parmit wm Applieatioe. e p <br />Name of ata or licant Si 4° o ><h~ ~ <br />>< <br />~ragntae that I be nttraed as a parry ____ I regaaeu I be wNbdawn fiamt pytry status <br />_. 1 togttest that I not bo taattted as ^ parry ,~ I wish m address the Hoard at the formal <br />booing, %' 6ehi, as s uoa-party <br />t ttndersnmd that J hsre part' rta0u <br />(Please sate tlut I! ~(abjecNnd paaKfes wttbdtaw p~ the iota set for the Dtrietea's eeeoaameadatlaa ter <br />apprord ar desdal, Ihve may eat be as oppsrtaasiey for aqy peteon to address the laoetd eat any hseea rdaud <br />to the apptieaetoa. ff~ obJcctltta pavdea wltbdtaw tbtir oleo t~ We shore tafareoeed drab, tie Boats <br />assay >tIB ba~i alloraal beuht` howerv the Hoard B as oblitated to coarNv stq isaa rased by a pstq eWt <br />hn.wlt6mawa.) <br />Reeudlesa of a patty scants, tha Dirisloa dtouYhdally cont3dea each Issue eolsmitmd in urcidnB m the Division and <br />ptorides a response u those itauea in the iXvision'a'Ratiotub t?or Rewnanaodetion `. '1;be 'Rationale" is available b <br />any potion Dy epnacanS ~ Division. Fa persona who do eat arisb (tr become a pury 0[ witbdtaw u a pasty in dda <br />enter. please contact the Division for iafanmatioa on application subs. <br />Wl.w provide du i'oltowlttt iabrmntw if you rive a rie1. w haw pony awns, thank you.) <br />~~h~sm, u SYri~'~ ~~~~J r970t /lSlaF'-~~~~ <br />PFirued tQeao bane Plnae M <br />1~~(o Ct) C.~ 75 <br />}~10.~- (9t `~~P CU 4'h ~~ <br />Coy, 94n 7q~ Code <br />r , ~Q~71 ~ <br />'W/~o/k P~ho~m ~ <br />[Z1t1J ~! d ~r ~~i.Z !! ~-! <br />FwX e <br />~~CJ~7 / <br />Daa: <br />PAGE 02 <br />addteated at doe Foam! Board tEkaeina sadr~arhy~l[lt pQ'QS / 1/~c~c.i ~GJ ~ ~~ S <br />ur.ens io <br />D you ec not now a party and you urisb to ba aa>Qd as sporty. please prevido die ioUoaieg. <br />• Hon yon oast' be edTeaed or agtieved bythe Ileatd's deeitioo if the Board decides en approve rho apptiattion. <br />