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UNITED STATE fP©4f:.fi V1c _", ;" a s i S <br />"t <br />• Print your name, address, and ZIP Code in t� """ <br />r <br />of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />C1991 -076 <br />SL -3 ecision <br />Proposed D <br />3f-EIAHH <br />F f ( i f t � , + i ( ii t 7 i I ' i { i / j i', 11j :•F i 7 � j . � } j�ji} �J J <br />1 <br />• SENDER: <br />D • Complete items 1 and/or 2 for additional services. <br />•Complete items 3, 4a, and 4b. <br />•Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• •Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />O ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />r •The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />0 3. Article Addressed to: 7009 2820 <br />a. <br />E <br />0 <br />V <br />to <br />th <br />W <br />0 <br />cc <br />z <br />l— <br />W <br />cc <br />Board of County Commissioners <br />Montrose County <br />161 S. Townsend Ave. <br />Montrose, CO 81401 <br />5. Received By: (Print Name) <br />c 6. SXna e: >. <br />PS Form 3811, December 1994 <br />7. Date of Delivery <br />, oor'"rost'dge,$apo Paid <br />.1 Nq, i -10 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />0003 5700 6847 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Vti <br />mAgion 01 RetiAtild Y ors, <br />MFning . <br />CA Certified <br />❑ Insured <br />❑ COD <br />Domestic Return Receipt <br />