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Rus 30 O5 09:SSa LRNGE RERLTY INC 303-420-0207 P•2 <br />STATE OF COLORADO <br />MINED LAND RECLAMATION BOARD <br />PARTY STATUS WITFIDRAW FORM <br />Ia the matter of File No. M-2x00 -16 AM _ Pamit/Permit Aatendtaeat Application. <br />Name of Operator/Applicaat and Site: =-moo y~^ r u;~,e,~~ n„~;~.-r <br />~c I request I be withdrawn from party status <br />_ I request I be withdrawn from party states and I wish to address the Board at the formal hearing, if <br />held, as a non-Party . <br />{Please note that B a~ objecting parWes withdraw p~ the date set for the Baatd•s eons3deration e1 the <br />application, the spplicatlon may be approved by the OlIIoe and no Board hearing held. Thos, there wDl not be <br />an oppottu~ry for a~ peraen to addreat tLe Board oa nary fsases related to the applieatian. Also, the Board fs <br />not obtlgated to consider aqy issues raised by a parry that has withdrawn.) <br />Regazdless of a party status. the Division thonghtfuliy conaidaa each issae submitted is writing to the Division and <br />provides a response to those issues is the Division's "Raaom]e for Recommendation ". The "Rationale" is available to <br />ffiY Pew by C08 the Division For persons who do not wish to become a patty or withdraw as a parry is this <br />matter, please coated the Division for information oa applicati~ states. <br />(Please provide the foRovvinx information if you have or wish m have party slaws, thank you.) <br />Mazgaret V~ MorG~n <br />Ir31Z}~ Z. Stvens and Robert J. St~57IP118 ,1303-6~7-1224 •• <br />Pointed Name home Phone 8 <br />11778 >~Y 52 P_O. Hex 693 <br />Addrevv <br />CO 80621 <br />Zip Code <br />EMsil Address <br />[ ) <br />w~ Phosa R <br />[ a <br />FAX lF <br />August: 26, 2005 <br />Due <br />~~. ~ <br />