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-z- <br />;. Address and %;:_ne :vuaoer of P,O. Box 1'71 <br />L..c31 t:'fice5 Grand Junction, Colo, g1~0_ <br /> <br />~. <br />_-g13µ <br />4. :,Caress and Pnon? trcnber of ~.o. Box :`1 <br />General Uffice5 Grand .function, Colo. 8li02 3 .'_-gl]+ <br />~. i,ame acd P~;o~ie `.lunoer of Perv:,n <br /> ~tarf ~~znors Snoulc ~;ontact Al R ucfcsan ~ i,-g135 <br />b. Uwner(s) of ~tzcord o` Affected Land a 6 G Partnership <br /> (surface area) (If more than 2, list below) (A Colorado partner ip) <br />7. Uwner(s) of Substance to be Mined A & r Partnership <br /> (If more than 2, list below) (A Colorado partnershic) <br />3. Source of Legal Rig'nt-To-Enter <br /> (Indicatz what type of proof is Deed <br /> includzd in E;(4IdIT G - lease, <br /> deed, notarizes letter, etc.) <br />4. Type of i•iine and Substance to be t•lined <br /> (Spzcify unazrground, open pit, <br /> quarry, ztC. & SUOStance(S) t0 Onen Pit - Gravel <br /> oa mined) <br />lU. General Location and Elevation <br /> (Mtlzs b direction from nearest 2 Miles I•fest of Co116ran,Coi - Elev. S,g00 Et. <br /> to..n & aporoxi~r~atz sttz elavation) <br />11. t:ounty Y.esa <br />12. Acrea~a o' hffactcc lands <br /> (Teal 5-r-a:~ scr;_,e to Ce 9.9 <br /> <br />13. ;;apl>>ati~~ r=_a ~_az °,pl,.a~ia <br />~:U i? L'J ]. .dt".". fit a'.C J~=1 '. `j.n~ <br />• <br />