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JAN-28-2008 01:33PM FROM-DIV RECLAMATION MINING ~ SAFETY +3038328106 T-165 P.002/002 F-809 <br />STATE OF COLORADO <br />MINED LAt+1D RECLAMATION BOARD <br />PARTY STAITUS WX'i'H1~RAWAL FORM <br />Tn the mattF!r of File No. IV1- ~~~-' peTin.tt/1?e17~ltt Amendment Application. <br />I hereby withdraw as tt ply to this matter and, if the Board holds a hearing, I <br />wish to address the Bc~azd at the formal hearing, if held, as a noa-party. <br />(Please note that if all objecting parties withdraw prior to the date set for the Board's <br />consideration of the application, thy: application may be approved by the Office without the <br />Board holding a heating. rrt that event, there will be no opportunity to address the Board on any <br />issues related to the application. Also, the Board is not obligated to consider any issues raised by <br />a person or an entity that has withdrawn as a PartY•) <br />Regardless of a party status, the Division thoughtfully considers each issue submitted in writing <br />to the Division and provides a response to those issues within its jurisdierion is the Division's <br />"Rationale for Recommeztdation." The Rationale is available to any person by contacting the <br />Division. For persons who do not wish to become a party or withdraw as a party in this rn.atter, <br />please contact the Division for information on application status. <br />rk ~ ~ <br />printed Nam Home Phone # <br />(71 .S - 8 <br />ddress Work Phone # <br />~ SUS"Z13 <<303~ cos 1-l~fb9 <br />City, ate Zip Code FAX # g <br />. ~_ ~, . ~~__~. _ ~ Date <br />Signature <br />~~, ~~1~ Q ~ ~ ~ ~~e ~~l <br />~o n~, P.D. x. Sr~o <br />fi~~CagID(7 <br />12 <br />y/ I hereby withdraw as ~i parry to this matter. <br />