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MOFFAT COUNTY CLERK AND RECORDER <br />221 W. Victory Way <br />Craig, CO 81625 <br />(970) 824-9104 <br />MINING/ RECLAMATION FORM <br />JAN a 2010 <br />GRAND jL,;? :.LL) OFFICE <br />D,V,-SiCN OF <br />REC?:?%TI0a9113INING & SAFETY <br />I <br />File Number q1 <br />Drawer Number <br />Return Date n1 d <br />Date `?? '0/0 <br />Received From max - <br />Mailing <br />RECE!WED <br />JAN 11 2010 <br />Division of Reclamation, <br />dining and Safety <br />?0_ _ nc7 ?o <br />Mining and Reclamation Application for: -X+4+ d5cr 5-? M ?''' a ?? <br />??? P--? lv <br />Name of Pit or mine: <br />Date on which inspection period is over and application may be retrieved by <br />Applicant: <br />Agent Signature: <br />For: D C '-AT Attest: County Clerk or Deputy: <br />