PERMFILE61348

• Permit No: M2004026
• IBM Index Class Name: Permit File
• Doc Date: 5/6/2004
• Doc Name: Proof of Mailing with Certified Receipts
• From: LJ Development Inc
• To: DMG
• Media Type: D
• Archive: No

• ~ ~ ~ ~V SUZI ERICKSEN
• a , , , c/o Div. of Minerals & Geology
m 1313 Sherman Str., RM 215
N LEt)UE%', CG 8;i2G `~'
Denver, CO 80203
~n Postage 5 /y~
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~I~~)d.: G 41
UY
_
T\ O
O Certified Fee '~ JG
7

~
BELOW
(Entlorsemen Requiretl) Po , erk
~.~° - - e,e
IE PUBLIC NOTICE FOR THE LEONE PIT.
O Restricted Delivery Fee ei k; Krii:+8`,R
(Entlorsement Requiretl)
O
4•y' CMG;. :NOTICE
~ Total Postage a Faes ,$
o se^rro SUZI ERICKSEN , 502 3. Walnut St, Trinidad,
~ st:~t: c!o Div. of Minerals & Geology ~ ~~ an apph~tbn far a-
drPOE abn ~ Materials, Operatbn
'c;iY si 1313 Sherman Str., RM 215 the Cobrado Mtned Land
Denver, CO 80203 rolAslorts bl the Cobrado lend
Extractbn "ot Constructbn
r..~.o,d,~ ..~ ,._ Nne is Wtown ee the Leone
- . ^ Complete items 1, 2, and 3. Also complete
• •' • - item A if Aestriwed Delivery is desired.
^ Print your name and address on the reverse
- ~ - ~ - ~- ~ ~ ~~ ~ ' ' so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
• won the front it space permits.
t. Article Addressed to:
SUZI ERICKSEN
do Div. of Minerals & Geology
1313 Sherman Str., RM 215
i Denver, CO 80203
i
2. Artice Number
(trans{er /tom service labeq
PS Form 3811, August 2001
A Signature
X ..
B. Recei by (Printed Name) C.
D. Is delivery address different from Rem
R yES, erNer delivery address below:

t 't -.
^ AgeM ~ ! I ~ "
^ Adtlressee
rte o Del ery
^ No
3. Service Type I
^ Certfied Mail ^ Express Mail +
^ Registered ^ Retum Receipt for Mercmandise
^ Insured Mall ^ C.O.D. .,i
4. Restricted Delivery) (Extra Fee) ^ yes t
ot)D`~ 5783 /763
Domestic Return Receipt
702595-02-M-1540 i
PubBshed: AprN 28, May 3, 10, 17, 2004
CERTIFIED MAIL RECEIPT NUMBER:
~DO~
70D2 100D OD04 5783 1763