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nug uo uc uu: tua Sue* PeYersmann 9713-723-476I P.3 <br />A <br />Submit original plus three copies <br />: STATE OF COLORADO <br />COUNTY OF PA&-blc. <br />i. - W •6?? r r ? _ -j V A u A L? f A V (L(j. state under oath that I have read this application and <br />verify its content <br />Applicant <br />Subscribed and affirmed, or svmm to before me in the County of Pu e-6 J c, State of ea l oral O <br />this (oday of A!.±5 .2002- <br />My commission expires: z - f4 -D * rte- ? <br />Notary Public _