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10/26!2000 16: 39 3037503855 <br /> <br /> <br />~ ~ EC <br />5C. G:+LLt;GHER <br />G«;'..LGGFEiR 1 I ORKIN <br />0~ FAGE 03 <br /> <br />PNGE 01; e1 <br />~ <br />10/;d!2000 09:25 30375t ~ <br />STATIV OF COLOR.~DO <br />~. !~IL'VED LAND RECLAMATIOW BOARD <br />Pa-ItTY STATUS FORM <br />In the rr,.uar of File Nv M-~ eo.-~,O , Perrnit/Perrtv; ,s,mendment Application. <br />Nome of OpeiattirlApplicant and 5ttc. Pi _ <br />^r( Naor F,~rti?I,s~'~~rs_~*?~'4S. - R. ~ W _ .. <br />' V~ <br />_ i request chat I be named as z parry ~ R'reques;l be withdrawn from party status <br />I request that Knot be named as a pony _^ I wish to address the Board at the fotmsl <br />hearing, if held, as a npn-party <br />L [ unCcrstand That I have part}' sta4ts <br />(Please pole. that if a)1 objecting parties wltbdraw n[ior to the date set for the Dfvisioa': rtwbmcadatioa for <br />nppro•a- or denial, titers enay not be nn opportunity For any person to addreat the Board on aay issues related' <br />W the appltcadon. If ~ objecting parties withdraw their obJectivrr tl~ the abopa rafereneed date, the Board <br />may sell. hold a formal hearing, however the Board is not obligated to coiuider aay Issues raiwd by a party that <br />hsa withdrawn.} <br />Regardless o(a party seaius, else Division thoughtfisily considers each issce sobrttined in writing to the Dlvi:ion and <br />provides a reepon5e co those iisttes in the Division's "Rationale For Recortvttehdazion ". The "Rationale" 15 avnilebte co; <br />any parson by contacting the Division. Forpertons who do not wish to become a party or withdraw es a party in this <br />matter, p1•ttse.eontaet the Division for infottnstion on appli:soon status.. <br />(Yluse provide the following intornlation it you have or wish w have parry sums, thank you.) <br />Prln ~ Na ~ Home Phone N <br />3DZQ Setu+b, Ulvn reef r ; <br />Addrress1 ~/~_ W otk Phone a J` <br />UVQ'f n C i t. .!-.1~~^- _1.111!~i~ ( ~ ).5,. _~r ~'~~'• .. <br />City. Score Zip Code FI,X # <br />_>~EITN~l~7Q ncll.c~v; _~c~l~,P~-, ~L <br />~E•Ma' Ad&tu ~ 1 Ante <br />.~~ 1 ire ~~~ .. <br />sign t [ <br />3F you are.not now a part' and you wish to be named as o paty, please provide the following <br />• How you may be effaceed or Aggrieved by the Board's dectston if the guard decidei co approve the app)ICacioh. <br />(Please attach addlefonel pages It needed: <br />• Please explain your oppomticn to [Etc macttr, incluaine a specific descrlpti~n of the issues that you Ieel need to be <br />addrrased az [he Forrwl $oaiJ Hearing er.C wh c. _ _ <br />(-leos[ etach addiu~nat Pagel if Headed) <br /> <br />HlI3:IP 3WI 60E Sb~4t 0002/LL/0T <br />I0 3J'Jd <br />