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PERMFILE66573
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PERMFILE66573
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Entry Properties
Last modified
8/24/2016 11:12:23 PM
Creation date
11/20/2007 9:26:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985112
IBM Index Class Name
Permit File
Doc Date
6/18/1985
Doc Name
REGULAR 112 PERMIT - APPLICATION FORM
Media Type
D
Archive
No
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. i • <br />AFFIDPVIT OF INTEREST OWNERS i <br />MINEP.ALS ANDlOR SUBSURFACE <br />P.pplication No. <br />Subject Property Ed Loloff Consr. Inc. RP~nnidg <br />STATE GF COLORADO ) <br />ss. <br />COUNTY OF WELD ) <br />THE UNDEP,SIGNED, being first duly sworn, states that to the best oif his <br />or her 4:nowledge the attached list is a true and accurate list of the ngmes <br />and addresses of all mineral owners and lessees of mineral owners on or under <br />the parcel of land which is the subject of the application as their names <br />appear upon the records in the Weld Ccunty Clerk and Recorder's Office, or <br />from an ownership update from a title or abstract company or an attorney. <br />NELSON ENGINEERS <br />By: Tom Caldwell, C.E. <br />?he foregoing instrument was subscribed and sworn to before me <br />this 17th day of May 19 85 By Tom Caldwell;, C.E. for <br />Nelson Engineers <br />WITNESS my hand and official sea]. <br />Pty Commission expires: April 13, 1989 <br />~~ <br />- _ Plutary ublic Greel National Plaza <br />822. Seventh Stree Suite 520 <br />Greeley, Colorado 80631 <br />
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