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1 ~ ~ <br />I <br />~~~ <br />III III III III IIII III <br />111/112 Enclosure <br />_~~ ax= _.~_ - <br />Permittee Name: Colorado Loren Company ~': ""' <br />Permit No: M-77-302 <br />Operation Name: Owl Canyon Quarry ^; -.T ^ ~ i"; ~ <br />Anniversary Date: 10/27/88 v <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />r Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: annual Report to follow <br />