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~Nov.li• 2004• 9,42AM•~ ~•iLAW OFFICES~~ <br />"""`~`"`PNo•6903•"jP• 2 <br />STA'T'E OF COLORADO <br />MIl~1ED LAND RECLAMATION BOARD <br />PARTY STATUS WIT~RA'VP FORM <br />In the mattes of l?lle No. M-2004 _ D51 <br />Name of ~prdrato~A,pplil~ant_gQQ 5i <br />Applioacioa. <br />., <br />,= I request I be wlihtitawio from party status <br />T request I be wltht3rawa $om pariy status and I wish to addresB the Hoard at the formal heariag, ff <br />~ ta~>don-party <br />(,Please nose that li ail oblset4ag pastla 7vltbdraw py~gx,~ rho date set tea t'he Hoard's candd+entLoa of 1'he <br />applteatlon. the applieatlon tttsy be approved by the Otf3ce sad sto Hotted bearleg bald. 19t~, tb~6 w!~ Aoh be <br />an oppos~dty tot auy parson to address the Hoard on ally issuy rdatad to the appLteat#tas. ,Also, tha Soard >B <br />sot ebiisated tv consider tuty ;aeries wised blr a Party that kas withdraama <br />Repsrdleaa of a party steno, ffie D;vlaton thoaghtlWl2y ooaaidan eseh ;arse subautted ia,wrldnp to the Divlaiaa and <br />ptovldes a rospopse m thoas isbvsa it the Divfaioa'a "Ratleoak !m Raeommeadatlen '. The "Ratientale" is available to <br />arty perao~n by eotttaedag the Dlviaion. Por persons whe do sot wish W become a pssgt or withdraw as a parry itt this <br />manor, please oogtact the Divieloa for intormtatioa on eppliratiton stataa. <br />pPhtsae provide the foliowinp fefeamstlan if you love se wieh to have patty states, thank youa <br />Biettt.nY~arg. sn+pxnv~astt a~oe3ation•, ztic, r 3eg ~ Ls~~ i~? ~ • <br />Rlnted Name Iioeae Ehoae M <br />o% Frank Gali:CSa~ 1929 Ceroli~ts AVe~ 303 571.3196 •• <br />-- t l <br />Address 1Vor1: Fhoas# <br />Ft. Lt~hoat~ CO <br />Seats <br />~A7C 4i ' <br />Aata <br /> <br />urui +a >r~., rm•~e --- ** TOTf~ pgGE.02 ~pk <br />