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<br />-3- <br />~(iULAK (ti L) PERMIT APPLICATION <br />FORM <br />NOTICE OF PROCEDURES <br />After the application is considered "filed" (pursuant to RULE I.I(10)) with the Mined Land <br />Reclamation Division, notice procedures outlined in RULE 2.2 must.be followed. (Format for <br />such notices will be included in the letter you receive from the MLR Staff informing you of the <br />completeness ("filing") of your application. <br />ADDITIONAL INFORMATION <br />This space can .be referenced for further information of any of the items in this form. <br />To the best of mu knowledge, aZ1 the information presented in this application is true and <br />correct. <br />, ,~j~^ 1 <br />1/// i <br />BY: <br />i // <br />TITLE: Product'on Manage~Y~ <br />(Signature by individual Zegally authorized to <br />bind the operator to this application) <br />April 29, 19II2 <br />DATE: <br />(Re v_ 3/9/82) <br />