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<br /> <br />112 Enclosure <br />Permittee Name: Corn Construction Co <br />Permit No: M-83-013- <br />Operation Name: Lathem-Burkett Pit <br />Anniversary Date: 04 / 28 / 85 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />y <br />y <br />Remarks: <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br /> <br />Sighature <br />