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Receipt and Proof of Filing <br />Morton Lakes 112 Reclamation Permit Application <br />I, C=5` ?a AL A-Z-- , Clerk to the Board <br />of County Commissioners of Weld County, hereby acknowledge receipt of <br />the following: <br />• "Notice of Filing Application for Colorado Mined Land <br />Reclamation Permit" <br />• Morton Lakes 112 Reclamation Permit Application with <br />Exhibits. <br />Signature <br /> <br />Date <br />lM- s o <br />L?