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+ t <br />STATE OF COLORADO <br />MINED LAI~'D RECLAMATION BOARD <br />PARTY STATUS WIT~IDRAW FORDZ <br />In the matter of File No. M-~_-rJ'3 ~" , Permit/Permit Amendment Application. <br />Name of Operator/Applicant and Site: ~Q ~.~ i ~~trLt`. ~i~ <br />I request I be withdrawn from party status <br />I request I be withdrawn from party status and I wish to address the Board at the formal hearing, if <br />held, as a non-party <br />(Please note that if all objecting parties withdraw riot to the date set for the Board's consideration o~the _ _ _ _ _ <br />--'appIica- ro 'Elie appTca~ion may a approved by the Oftice and no Board hearing held_ Thus there will not_~e __ _ _ <br />--~ri oppor uru or any person o a ress t e oard on any issues related to the application. Also, the Board is <br />not obligated to consider any issues raised by a party that has withdrawn.) <br />Regardless of a party status, the Division thoughtfully considers each issue submitted in writing to the Division and <br />provides a response to those issues in the Division's "Rationale for Recommendation ". The "Rationale" is available to <br />any person by contacting the Division. For persons who do not wish to become a party or withdraw as a party in this <br />matter, please contact the Division for information on application status. <br />(Please provide the following information if you have or wish to have party status, thank you.) <br />Printed Name <br />Address <br />City, Slate <br />Date <br />cN BFtt-~ e~ `~~:~.~ -~u~-~+..~r~ , c.~ua,~~.,,x, ~ ~j -- ~,r~.k.u~ <br />Home Phone # <br />Work Phone # <br />Zip Code FAX # <br />