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• a~ III IIIIIIIIIIIII III <br />111/112 Enclosure <br />Permittee Name: Brannan Sand & Gravel Company - ,1; (j~ <br />Permit No: M-80-183 Jqh~ ~ ~~ <br />Operation Name: Pit 29 7 198 <br />Anniversary Date: 01/08/89 rtC IJ;,dr_L .j,, <br />Please complete the following and return this form with your feesraOnd Dr~~S~nW <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~~ ~ ~„ <br />_lL Annual Report JAfd ~,~ 1'69 <br />C/ Map .v:!:•: =._ ... ... <br />. ,„ <br />~.Ci.~Ciu~~-~~?i::a ~.: ~..:: . . <br />Signature <br /> <br />