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7-1 1-1995 8:20AM FROM FE LLC 970 72191 ~) III IIIIII'IIIIII'll r ~~ 2 <br />~ ~~ s?~- 396! !~~ /,B.h 6~,- <br />STATE OF COLORADO <br />MINED LAND RECLAMATION BOARD <br />PARTY STATUS WITIIDRAW FORM <br />In the matter of File No. M-~~- mSZ Permit/Petmit Amendment Application. <br />Name of Operator/Applicant and Site: ~'>~«~ f~r~,,n.•+.wE +...1 T/'~ufc, ,~.~e-, <br />Tam /L vw.~ P. ~ <br />I request I be withdrawn from party status ~ <br />I <br />_____ I request I be withdrawn from party status and I wish to address the Boazd at the formal heazing, if <br />held, as a non-party <br />(Please note that if all objecting parties withdraw rior to the date set for the Board's codsideration of the <br />application, the application may be approved by the Office and ao Board hearing held. ua, there will not be <br />an opportunity for any person to address the.Board on any issues related to the application. Also, the Board is <br />not obligated to consider any issues raised by a party that has withdrawn.) <br />Regardless of a parry stasis, the Division thoughtfully consider each issue submitted in wtitin~ to the Division and <br />provides a response to those issues in the Division's "Rationale for Recommendation ". The " tionale" is available to <br />any person by contacting the Division. Por persons who do not wish to become a party or wi draw as a party in this <br />matter, please contact the Division for information on application status. <br />(Please provide the following information if you have or wish to have party status, thank you.) <br />Printed Name Home Phone # <br />Address Work Phone if <br />Ciry, State tip Code FAX # <br />Date <br />