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FiF(~F"~V~=r <br />NOV 21 1995 <br />Division of minerals d Ueoioyy <br />CERTIFICATON OF RECEIPT <br />Please complete both copies of this ~2etur~!ghle pi~k copy to Pete Lien & <br />Sons, Environmental, P.O. Box 767, api rty, Sdd__577'09-0767 in the envelope <br />provided. <br />I hereby certify that I received copy number 6 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 <br />PRINTED NAME OF <br />PERSON RECEIVING <br />COPY <br />SIGNATURE OF <br />PERSON RECEIVING <br />COPY <br />ORGANIZATION <br />REPRESENTED BY <br />PERSON <br /> <br />1517 <br />I h.ar (_-0I,fti`~! Ger K`~"RpCOV~gerS (~-~ <br />BOARD OF COUNTY COMMISSIONERS <br />LARIMER COUNTY <br />c/o Larimer County Cleric 8 Recorder, POB 1190, <br />Fort Collins, CO 80522 <br />SEAL OR STAMP OF <br />ORGANIZATION, IF <br />USED <br />REMARKS AND <br />COMMENTS <br />Revised copy is bound in an orange cover and <br />replaces the old version bound in a green cover. <br />