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e~~~~ww L, TETRILL. :euwtt e~qt ~ • iGi.~~/'If <br />i..O'U 1'~ 1 1 ~..l.i:Siii <br />HOf{Q[ COaIIt~ Coarsu0ase <br />221 w. victory way <br />Crmg, Colorado 81525 <br />c ILL iJUM13ER <br />DRAWER NI~MBF.R <br />RETURPI DATE '-= •=~' "~=`~°•"-~ <br />Date ~G/tip/-: C <br />received o <br /> <br />'dhose mailing address is :~~ / y 'f~i ~.:. ~. « „ -:, ~> `/- <br />J <br />Telennone Number ~: ,?•/ . ~% =) ~'/ f <br />Mining and Reclamation applica~ioyn, for: <br />Name of pit or mine /-~°.~ ,~y?z <br />Date on wisich inspection period is over and application may be <br />retrieved by applicant !!i.~'~,c~~'w <br />~-{ 7 <br />Signed ~_ CL L L LL .~ / / ~ <<' ~ -~ <br />For <br />County Clerk '~ -' 1:--LC.~ .. Y`. `sly`=/-~=t <br /> <br /> <br />