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<br />• <br /> <br />III IIIIIIIIIIIII III <br />sss <br />Permittee Name: Potco Mining & Milling <br />Operation Name: <br />Permit No: 83-30 <br />Anniversary Date: June 10 <br />~ ~~~ <br />110 and 111 Attachment <br />R~~E~V~ <br />.s~~ D <br />MiN~ _' ~ ~ ~ j8 f <br />~O/q ~ OR~~ Tidy®7d1~i <br />ice. ~/j <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check boxes}} <br />ICI Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~ ~ Annual Report <br /> <br />(Rev. 5/84) <br />Qoc. No. 1782 <br />~• ~ ~~ <br />~r ~~ <br />J~~ <br />-~~~~ i <br />r ~~ /1 - :- -~----. - n D ~ <br />