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<br />pogo, Colo
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<br />=„y~t TRl4IT Ipll~/t 8~
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<br />,.t Portable Shak~1'
<br />1' Road 120. Hes~
<br />Colorado.
<br />•,~~ to the psa~ !;1
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<br />,•;..,1 ~ i the. ~T .
<br />s° , ~ above ~e t
<br />8 392.00
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<br />- ,.~., ,(~BR FEES DOE: O
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<br />t:`„ >,:~ ~...~ y TOTAL TZ8 ~ DUL: S 392.Op ~ .
<br />It ie'tha policy of the Divieios tat to ieeue air pollutieR j~rnit• or
<br />certificates until the sPp{opriet• fee ha• been paid. ChecQe ahauld ba
<br />ttydi payable to the Colorado Departtwnt of aealt6 and toiled to 4210 Baet
<br />11th Avenue, D~rer, Coloeedo, 80220, Attn: Departsent 400. PLEASE NOTB
<br />STATE OF COI.lJRADO
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<br />~~ ~Ceunty ,~ T~~'
<br />11ta , Cwnty, ^ Wet~wiwlNa ra~TOaca+aNT
<br />~q;,~} in 41~ Calorado.'Air Qv~ty control
<br />. ad~atdS~tratio~;.agd/o(~'ilhlorceant
<br />Tatait(o) os Cetti!l4M~(a)
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<br />T1pCtsslNC TEE Tot 5.6d, .~. ~ ~ Boots
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<br />,~ ',;.~;~~ILIC COMIt/T COBTSs. •• ~
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<br />GIt~IT. I! appliclµT, pleeae enclose a co~le/ed tlotlce of Start-
<br />H7a• lorrard the !ed ~icetM above rithin 1S day and use the return
<br />provided to eatped ~~ Ttecessiad. If you have soy questions regerd-
<br />fees, pleaw coet~~,„~,{le,pivisioa at (303)331-8576.
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<br />tot White - Applleaet Copy
<br />Yellw - taturn to Mpt. 400 With Payoent __
<br />Pink - Divisiop Copy
<br />Gold - Aceouot~ ,.~epy
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