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~ Clerk and ~2~order <br />FREMONT COUNTY <br />P. O. Box 348 Cafion City. Colorado E1212 Phone 303 275-t522 <br />r7orma Ha;lie'tl <br />Cecn;~r Cn'r d Fecor: ~r <br />F:E: d!I?iI?!G RECLAI!!ATIO?: PEP.~!I7 APPLICATTUN <br />Co£o S~cf. 34-3f-iif.10.~ <br />DATE F:ECEiVED: '/~~~~~~~ ~~" 1' , <br />NAdfE OF APPLICA?I ` ~ T <br />~`_ <br />DATE OF HEAPING: "~ `~ ' rJ ~ !J . <br />~i o -~ l ,~-c, ctcc~ <br />PLEASE CHECK (Jr.'IC6' PUX, APPLIES TU YUG'F', FI.III <br />I fJISH TU SE CU?lT;,CTED FIVc- DAyS AFTE?. THE NEARi?rG TO <br />PICK UP T?IC APPLICA7IUF1. <br />THE 11U?.(oc`R AND PERSU?! TU CU?;TACT IS: <br />`~U ?:CT LIS:: Tc PiC' U" T: . -.. =L1C%.T?i%)' <br />r ~ I!'E L~.S'S t,FTc-r <br />IrC rC ...: ~.~ '. .`: (' F' C °C;i ~:~ F C;; i:7S;.: C'~. <br />~., IU I ~.~ C LE'...'S <br /> <br />SIG!:c.. <br />