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C~er~ ancC_RecorcCer <br />FREMONT COL?;TY' <br />ivona Hatfizld <br />CounR' Cizrk & Rzcordzr <br />DATE RECEIVED o7 - 7 - ©`7 <br />NAME OF APPLICANT A C~ truer rr~ .~~„-,.. <br />permit#~~~`~e ~c.~e~a..... 1 <br />RE: MINING RECLATMATION PERMIT APPLICATION <br />COLO STAT. 34-32-112.10.8 <br />DATE OF <br />6l5 ivlacon Ao'znuz, Room 103-Canon Ciry, Colorado 31212 <br />Phonz (7l9) 3 i6-i336 Fax (719) 275-li94 <br />~ 3 - z~-7 <br />NAME OF CONTACT PERSON `~ <br />' 4Phonex a7~s- liy-c/ <br />please print J <br />Please check which box applies to your permit: <br />I wish to be contacted 30 days after the hearing to pickup the application <br />a <br />I do not wish to pickup the application 30 days after the hearing and herby <br />give the clerk's nffire nPrmiasinn to riictrnv <br />FE6 0 8 2007 <br />Division of ReclamLtion. <br />Mining and Safety <br />• date of dispostioin clerk <br /> <br /> <br />