Laserfiche WebLink
i <br />N L MOFFAT COUNTY CLERK AND RECORDER <br />Lk <br />221 W. Victory Way <br />CA, ©("o J / Craig, CO 81625 RECW ® <br />0° ?? <br />? I <br />File Number <br />AUG 3 12009 <br />Division of Reciarnatiol, <br />Mining and Safety <br />i ? V\ ?0 11675) <br />Drawer Number <br />Return Date o n -? <br />11?r <br />Date g " d <br />Received <br />Mailing Address <br />(970) 824-9104 <br />MINING/ RECLAMATION FORM <br />/5-70 , <br />.a co <br />(jt?? <br /> <br />Mining and Reclamation Application for: <br />r mine: 4 <br />Name of fit • <br />Date on which inspection period is over and application may be retrieved by <br />Applicant: <br />Agent Signatu . <br />For-?.M , LLZtd <br />UM01v5 <br />Attest: County Clerk or Deputy: