2011-07-11_PERMIT FILE - M2011036 ‎(4)‎

• Permit No: M2011036
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/11/2011
• Doc Name: 112c application attachment
• From: Marvin Moore
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

File Number
Date 7 - 6- 1 1
MOFFAT COUNTY CLERK AND RECORDER
Drawer Number - Z--L-
221 W. Victory Way
Craig, CO 81625
(970) 824 -9104 .
MINING /RECLAMATION FORM
Return Date
Received From csi= -i O a ,' i '� ®F-.,az) 4 1 �5
J
Mailing Address
L� 2- tl, C_A) b) ( 2
Mining and Reclamation Application for:
For: cf- i- ✓ i
( R. 4 6
Attest: County Clerk or Deputy. (XL
Name of Pit or mine: L t t..neSini.Jrr° i s
Date on which inspection period is over and application may be retrieved by
Applicant: -J , ) A OORIE
Agent Signature: - --
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