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Lupton Lakes Resource - MLRB Regular (112) Operation Reclamation Permit Application <br />Proof of Mailing to 200' Ad'acent Propert Owners <br />.• <br />.• <br />.n ~ ~ m ~ <br />~ N <br />S I. • S I. <br />D" <br />D' t~ ,,~o~e ` <br />~ ®~ F ~ ~.r B l'N ~ C7 ti7 0 ~ . i.J ~ ~' L' ~ 6. dp <br />.n <br />° P~ : '~ 3 1100 Postage S ~ <br />° CeNfietl Fee o Certlgetl Fe9 JA~e 1005 <br />° Posanatlc <br />° ~~~ R °~ ~ ° (Endorsemem RequireE) Haze <br />LISPS ° RestrlcOad DdWery Fee <br />° Reetrloted DelNety Fee t+l (Entlorsemem Regdretl) <br />ul (F+u7ometront Required) M1 ~( /, ~J /'n c~ <br />° Total Postage & Fees $ •Y ~ Total Posmro S Fees .9i ti•Y L/ u`~ P`~ <br />FRANK YOKOOJ! s STEPHEN BRANCUCCI <br />° Sent o <br />a 12673 CTY RD 6 ~ ° 3571 W 111 DR UNIT B <br />r` 's"ue".eaL'AyC; t` 3`itee4nFi .__. <br />e. PO eo.n BRIGHTON CO 80603 or PO eor WESTMINISTER CO 80031 <br />° ~ ~ <br />S •• <br />D' <br />~ O G ~ ! 0.I ••/ A .~ ~ ~ z <br />° Rrnmea $ ~ 11005 <br />° De~tlFee <br />o <br />° Realm Redapl Fee Po <br />° (FSdwaamam RequUetl) VJPS Here <br />~ R(6toaz6etnenl Reg 4ed) <br />t` // <br />° Told Podege & Fees $ / ' / (i <br />S CAMAS COLORADO INC <br />o 1707 COLE BLVD 100 <br />~ roem~Nlo GOLDEN CO 80401 <br />CEIi ~ ItICU tutru~n~ ,.,_..._... <br />(Domestic Mail Only; No Insurance Coverag <br />D' <br />~~ 0~6-9ti9~ <br />° Postage S <br />. s ~ / . <br />S I. e <br />D" <br /> <br /> <br />° Po~age : ~ ~ ~ i ZQ~S <br />° <br />° cemnea Fee <br />° <br />° Realm Retlep[ Fee P <br />(EntloreementRequvedJ <br />re <br />O Restricted Deirvery Fee <br />LISPS <br />~l (Fntloreemem Requue~ <br />M1 <br />° Told Postage 8 Fees .9. ~ ~' <br />s DJR WELL SERVICE INC <br />o fTV 12563 CTY RD 6 <br />~ n gem Nod' BRIGHTON CO 80603 <br />o DaztlfiedFee JAN ~,~,e~005 <br />° Relm Radept Fed Hare <br />° tetpenement Requkee) <br />° Restridetl DeiWery Fee <br />trl lEntloreenuml Requiretl) <br />M1 LISPS / <br />° Tole) Postaro R Foes ~ -- <br />~ ANSELMO HEREDIA <br />° m ' 2041 HWY 85 <br />° <br />1` Pow, FORT LUPTON CO 80621 <br />city.'smie: <br />JAN ~~j„~005 <br />Here <br />° Tate) Postage S Fees .b v ~ <br />~' CARR FAMILY LLC <br />° saz~ ~ 12672 CTY RD 6 1l4 <br />° <br />~ ~`'" FORT LUPTON CO 80621 <br />orPO ec <br />r <br />~ <br />S e <br />e' <br />D"' <br />m <br /> <br />.D <br />° Postage S <br />° ~a~~Fee <br />° <br />° <br />° Return Retlept Fee <br /> (Endoreamem Requiwd) <br />° ResaiGetl DelNery Fee <br />u-t (EMOtaemem Raquiretl) <br />r <br /> <br />