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l• .rl .• .. ..... a C.C:.I..C <br />- ~~L <br />HISTORICAL SITE FILE SEARCH REQUEST <br />SOCIETY <br />•ounty township range sections 'r .5 PtIN Quzd Gt. <br />W 3 ~ a L o ~ ~ zWg.] 3 ~ WW WW WW c4,;M,~~~ ~o~~ <br />L~J WLWI WWJ W W W WW W <br />~I WW l~tli W W W W W <br />~ .W IWW i l t l l W W W W WW <br />W WW I; t l l W W W W W <br />~J WWJ lull W W WW W W <br />' ~I WW WWW W W W W W <br />W WW I,tll W WWWW <br />`W Itll WWWJ W W W W W <br />FOR EXAMPLE AND <br />a FOR COUNTY ABBREVIATIONS SEE OTHER SIDE <br />THIS REQUEST WILL NOT BE HO'N/ORED UNLESS ALL INFORh{ATION BELOW IS COMPLETE/D <br />AUTHORIZED SIGNATURE: ~ ~` ~nt/.O DATE: Ocy" ~ f9S~o <br />NAME: ~1 o,d,e N. O~ell TITLE: lZec~avna-~-:oa S~ew:Soa- <br />pri nt or` type TELEPHONE: ~6 ~3 'x293 <br />ORGANIZATION: C him~ey 't~ocK Coa~,~ DIVISION: <br />' ADDRESS: ~ 0- 'fox ,5a --1 5}i•.e tZw,~te 3 <br />number/street or P.0. Box <br />~Fa~oSq Sp~c'i c~.t Co,oro.r~.e- ~d ll~1l <br />city state ~ zip <br />.;: <br />LEAD GOVERNMENT AGENCY: Co\ora.~ Yy,.;_aecl Load \2ec\avns~~;,o,~ ~;Jisie-rte <br />PROJECT TITLE AND NUMBER: C~i~+.aay 'l2oc~c CoaQ S-\ <br />YOUR REFERENCE NUMBER (purchase order, etc.) 6-1 <br />REASON FOR REQUEST ~ovr.ops~r~~a coYrlp~~aaca W:k\~ Lo\or~,~ar Ceq.~,~4.~o~S <br />~~J¢~J iA4 5vo~~ec cecQ vxiA~a1 d-aa_ Y`ac`c,rh.~'Ga.~, opQ'['d~na.t <br />REMARKS: bee A-~~e.c~¢~ <br />PLEASE PHOTOCOPY THIS FORM FOR YOUR FUTURE USE <br />MAIL T0: COLORADO PRESERVATION OFFICE, 1300 BROAD'dAY, DENVER, COLORADO 80203 <br />ATTN: SITE FILE INQUIRY <br />