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Proof of Placing the Corrected Permit Application Form with County Clerk and <br />Recorder's Office: <br />JACKSON COUNTY CLERK AND RECORDER <br />RECEIPT FOR T CO +FCTE) PERMIT APPLICATION FORM FOR THE Harry <br />Corkie Constructio <br />SIGNED BY: s .L COUNTY CLERK <br />DATE: A LLa Gt „/ -- <br />Receives <br />SEPQ 2 ZO <br />Division of Reclamation, <br />Mining and Safety <br />(7C-7/1/ 3 <br />