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REV106846
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REV106846
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Entry Properties
Last modified
8/25/2016 1:21:29 AM
Creation date
11/22/2007 1:38:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977439
IBM Index Class Name
Revision
Doc Date
12/11/1987
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Type & Sequence
AM2
Media Type
D
Archive
No
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<br /> MIY ~D LAND RECLAMATION DIVISION ~ 0 Q Q 7 2 7 2 <br />1313 Sherman, Room 423 ~- <br />Denver, Colorado 80203 PATE ~'19 <br /> 303) 866- 567 _ <br />( <br /> ` <br />M cJ ~ <br />RECEIVED FR <br />O <br />~ <br />~ <br /> / / <br />`~ <br />yy <br />~. <br />}( <br />THE SUM OF' ~~` ~ ~[` ~ : 1L ~ /GC~OLLARS $ <br /> ~ ^ CA5-~ <br />FOR [~mr~~n ~~. r: ~ ~ d~r~, ~ - 77 - 93 9 `/a3r ~" <br /> <br /> AMOUNT OF ACCOUNT...... $ /~q I <br />~ <br />~ ~U <br /> 1A11 <br />! <br />AMOUNT PAID ................ $ <br /> BALANCE OUE ......... . ..... $ BY ~ _ <br /> <br />
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