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S~ <br />.)~1\l. \1. hr: r: and ItGI'(,1C1 I(4'(Zj•M 11 <br />PLK:\ifl'fEE \r1\11•, 1\cslern Slope (~un,lructiun ('u RECFI~~Fp <br />I'rtt~ur vv.: v \1-19x43-zu9 AUO 28 2006 <br />OPI:K:111(>V X:1~'llr. 14eutmt I)atv,uu Uratrl t' fir'°~i`~:~ (.', ~ „~r,~r„~ <br />!.•~ <br />• 'v <br />~(;VI\'I:KS:1K1' I)r\ll: .lul) 2~.?UU6 <br />:\KVl':\i. hI:I: I)l llf )?81AU (Uue on or bcl'ure your uunivers:n'~ date) <br />('OUN'I'1': Uvhu <br />t1CCUrdI11R lU (•.lt 1. i•i. i? I (~ rn f I( 1. i.:_11_I Ib .. ri. ~ .~ ~ . ,L~ ,y~•,~•••^ •... ' d:!•: of .1-.. .. '~•. <br />slt:dl submit llu :uuwei t~c..t rcl~,,it :u,,l ntap a~,•ttiuc U:r :tlrnt ul cunrm dl>turbancc. 0.. atti•cled land. <br />rcc!amanon accumpluhrd lu d:uc and donor the ptcccdrng year, arty drsturbartcc~ that arc arlncipatcd k, occur <br />dur;:tp Litr upcolnn:~ yc;u, :c.ia~natnm Iha! tall Ix la•rtinnicd donne the r„Itun~ yrar. the d;des Iln the begtnrung <br />„I~a;'.~,•.r ~~~,,rret~~~~m. and Ihr ,:.iir ~rlwr..I,ti:,:u„n> cc:nrd lu: Ihr •.i.n, iI-a:•n. <br />I'Ieuu• •unneh your reri,ed ttriu •n •nuuwl r •Irort and •unu+al rrunrt m+4, h, this I'nrm 'hhe :lunual Reporl <br />Fee requlreulenf is not uu•f until we hacc n•ccived the fnllo»in>; 3 components: l'ee_ reltnrt_ :uul :wcociatrd <br />uuy4 (:111 3 :n•c reyuircd regardless ol'the Icvel of didurhunce ur abscucc of di,lurbuncc during; the previous <br />year). !'lru c~• nurr that on w(ro n.: ~, d, i.a~rlrJ atop that rlr atdv J~ ;irn ~r1~ , :rn,' rrrrhtdacr tltr rrhuvc rlrut+ntt ntuP <br />s ul)irc !ur a tt rirlra n/ru+y <br />Ihusum record. wdtcate the Iidlutcu:g I,cnuutce :unmet ,tuunnatiun. I'Icax• •rnfv and make any ncecssary <br />change;: <br />I'crnuucc ('ontnct: Jack L. I latvkut~ <br />1'enniltce Namr' Western ,l.'Inpc ('unstnletiun t'o <br />:\ddrcss I_'ZI Ilav ill <br /> <br />Phone\umbrr: (9711)57.1.9SS11 <br />hax isiumbcr: (97(1) 1i74•USU3 <br />II' you have addthunal cununcnn ;uu!'ur information Ihat should be pruvtdcd at the lhvtston• please pruvldc It <br />bcloty or attach n to thls tixnt along tt nh your teritten rcpun and snap. :lnnual kepurt ut,Iruutions ;trc rn.•losetl <br />Stgnnlurc ot'l ur{wrote Officer, t M ucr• ur Deslgncc <br />J <br />~ ~/:_~~/_v_` <br />Ikltc <br />