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y - ~ • • III III III III IIII III <br />999 <br />MINED LANG RECLAMATION <br />Application Worksheet/Checklist <br />Colo. Division of Hwys. <br />Regular 112 Application Name ~` " File No. M-85-040 <br />Complete filed Date pnr;l 8. 1985 <br />ITEM <br />COMPLETE ADEQUATE COMMENTS <br />Application Form: <br />1. Name of Operation <br />X <br />X <br />2. Name of Applicz~nt/Operator X X <br />3. Address & Phoney (Local) X X <br />4. Address & Phoney (General) X X <br />5. Person to Conteict X X <br />6. Parent Corporation, if any X X <br />7. Surface Owners X X <br />8. Mineral Owners X Expl• ~ BEM a,r.rii <br />off ~ mQl{<?`. <br />9. Source of Legal Right-To-Enter X X <br />10. Type of Mine/Substance X X <br />I1. General Location & Elevation X X <br />12. County X X <br />13. Acreage X X <br />14. Fee X X <br />15. Present Land Use X X <br />16. Surrounding Land Uses X X <br />17. Proposed Futuna Use X X <br />G:p d <br />