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MOFFAT COUNTY CLERK AND RECORDER <br />221 W. Victory Way <br />Craig, CO 81625. <br />(970) 824-9104 <br />MINING/ RECLAMATION FORM <br />File Number <br />Drawer Number <br />Return <br />Received <br />Mailing Address <br />From <br />-4-4)- <br />Mining'and Reclamation Application for: <br /> <br />Date on w <br />Applicant: <br />Name of Pit or mine: <br />inspection period ts over and application may be retrieved by <br />Ager <br />For: <br />Attest: County Clerk or Deputy: