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-3- <br />C.R.S. 1973, 34-33-123(8) provides for imposition of civil penalties of up to <br />$5,000.00 for each violation and provides that each day of continuing <br />violation may oe deemed a separate violation. <br />Person Served: <br />Please print mm~e and title). <br />~` f <br />i <br />S,-gnature of person served <br />Date and Time of Issue: <br /> <br />C.R.S. 1913, 34-33-123(1),(3) <br />C.R.S. 1913, 34-33-124 <br />(Rev. 8/83) <br />A.M. <br />P.M1 <br />MINED LAND RECLAh1ATIDN DIVISION <br />--~ ~' ~~ <br />By. ~~;,.,~~~ i I - <br />Authorized representative <br />^-- ~ . <br />Date and Time Served: <br />/ICI j; A,M. <br />~ P.M. <br />Doc. No. 5137 <br />