Laserfiche WebLink
? M k- .-% <br />COLORADO SP 2 4 200$ a <br />STATE OF CO ®;vsrc.o r <br />gECLAMATION BOARD <br />MINED LAND <br />PAR TY STATUSWITUD AWAL FORM <br />lication <br />Z Permit/permit Amendment ApP <br />In the matter of File No. M- ?- <br />G <br />erato i Applicant and Site: o <br />Name of Op <br />o,4 withdraw as a_party to this matter. <br />-? - ??y_ _ <br />if ? Board holds a lie"arn? - <br />r and, <br />I hereby withdraw as a party to this matte if held, as a non-party. <br />wish to address the Board at the formal hearing, <br />withdraw prior to the date set for without the <br />application may be approved to by the O <br />(please note that if all obi 0ect 11 t Parties <br />address the Board on any <br />consideration of the application, the issues raised by <br />In that event, there will be no oPP ?y consider any <br />Board holding a heating. <br />lication. Also, the Board is not obligated <br />issues related ten a pp party-) <br />that has withdrawn as a P person or an each issue submitted in writing <br />a the Division thoughtfully considers <br />acting e <br />ess of a party status, to those issues within its jurisdictio the <br />to the Division and provides a response Person Y to the ?rithdraw as a party in this matter, <br />« e for Recommendation:' 'Tlie Rationale is available to any <br />Rational <br />iision. For persons who do not wish to becomea afro or status. <br />D <br />please contact the Division for information on appl 7l <br />Printed Name <br />71 <br />- d - <br />Ad ess ?® ?? ?? b <br />??? j v J Zip Code <br />City, State <br />-M ' Ad g <br />nature <br />Home Phone- 4 <br />Work Phone # <br />FAX # z3 ?..ao <br />Date <br />12