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~or-ta Ha~fizfd <br />Coma Cterk & Rzcordzr <br />Clergy ancl~Recorcler <br />FRE~10tiT COL~iT~" <br />6I ~ Macon Avenue, Room 102-Canon Ciry, Colorado 81312 <br />Phone (i 19) 3 i 6-7336 Fz~ (i 19) 27i-li9d <br />RE: MINING RECLATMATION PERMIT APPLICATION <br />COLO STAT. 34-32-112.10.8 <br />DATE RECEIVED ~y'~`t ~ C3 <br />NAME OF <br />permit# ~~~ C3-Go( <br />ucl~ <br />DATE OF HEARING ~ I JC ~ K~~ ~ ~3-c ~C'~ <br />ME OF CO~J~`j~TA~9CT PERSON ^1 (, <br />,Ln,~~, 0~.7 /< LeSL'LL~"f".t+.,.c . Phone ft oc~ ~- 0 ~7 ~I <br />please pryit <br />Please c eck which box applies to your permit: <br />wish to be contacted five days after the hearing to pickup the application <br />I do not wish to pickup the application five days after the hearing and herby <br />give the clerk's office permission to distroy <br />Signatu <br />~~~~ <br />~- <br />• date of dispostion clerk <br />