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AUG-25-2004 WED 01 33 PM WELD CO GOVT <br />AUG-24-1004, 03:16PM FROI~NEILAN9 INC <br />FAX N0. 9703520242 P, O1 <br />8084880868 T-278 P.008/008 F-080 <br />AFFIpA~~IT OF RECEIPT <br />State of Colonr~l!o <br />County of Wnj~;~• <br />BEFORE ME, a rapresentatlve of the Boats of County Commission®rs of Weld <br />County, on this.,,,,. ~~ day of 5 , 2C~' ,Did <br />receive a fax cala;,~ of "AFFIDAVIT OF INTENT TO SETBACK 200 FT FROM <br />ANY PERMANE I' IT MAN-MADE STRUCTURE SURROUNpiNG THE FILE PIT <br />112° <br /> <br /> n „- <br /> ~ n7 <br />~ ~ r <br />C~ ,~ ~ <br />_. ~ <br /> :n <br /> <br /> <br />`~ <br /> <br />~ -. <br />~~ <br />':=~ r <br />r' <br /> fi'I <br />`;;7 1 <br /> N :J% <br /> <br />cr~~ <br />~:., <br />Name (Printed) <br />