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RF~'FIUF_f~ <br />NOV 21 1995 <br />CERTIFICATON OF RECEIPT <br />Division of Mmerais 8 (ieoloyy <br />Please complete both copies of this form and return the pink copy to Pete Lien & <br />Sons, Environmental, P.O. Box 767, Rapid City, SD, 57709-0767 in the envelope <br />provided. <br />I hereby certify that I received copy number 8 of 21 Revised of the "110 to <br />112 PERMIT CONVERSION APPLICATION" for "MUNROE GYPSUM <br />QUARRY, M-77-002HR, LARIMER COUNTY, COLORADO." <br />DATE RECEIVED <br />TIME RECEIVED ~ ~ •• ~~~ A . ~ <br />PRINTED NAME OF So,~~ <br />PERSON RECEIVING / /L F7-. Cv /~~hS <br />COPY /ill ~c. T, TLS-s ~~rnS~'~a~`r ~ ~~~t <br />~ ~ ~lG <br />SIGNATURE OF <br />PERSON RECEIVING <br />COPY <br />ORGANIZATION <br />REPRESENTED BY <br />PERSON <br />SEAL OR STAMP OF <br />ORGANIZATION, IF <br />USED <br />REMARKS AND <br />COMMENTS <br />FORT C(9LLINS CONSERVATION DISTRICT <br />1415 N. COLLEGE #3, FORT COLLINS CO 80524 <br />J <br />R Coflhu slioA CanMewtlan tllsfrlot <br />1415 N. Colbps Aw q <br />R Co1hs, CO B06?~4 <br />Revised copy is bound in an orange cover and <br />replaces the old version bound in a green cover. <br />