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_ ~ • <br />!' <br />110 and 111 Attachment <br />Permittee Name: Joe and Nancy Eccher , _~ , <br />Operation Name: MOUNTIANVIEW PIT ,, ,, ~ npC <br />,, ~I . ~ <br />Permit No: 81-2 <br />July 15 ?P1 ! 0`141 rl~-n: ,~C~p`~~` <br />Anniversary Date: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />Remarks: <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1782 <br />c ~ <br />71x-5 ~c~S <br />~' " / <br />(~ <br />