Laserfiche WebLink
~%-=+ <br />Permit .Jo: 7g_221 <br />Anniversary Date: August 23 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />0 <br />~~ <br />~G <br />~ Check or money order payable to l:oloraao t4inea Land <br />Reclamation Division for annual fees due <br />~. Annual Report <br />RECE1iJED <br />AUG 2 41983 <br />MINED LAND RECLAMATION DIVISION <br />Colo. Dept. at Natural Resources <br /> <br />Renldrks: Nn land _•aae affP(: t Pf] fact ~r <br />P_an and ahn+t }. 1 ar,na uri ll hP <br /> ~ <br />afi'f on torl rl ilninn }Ylic TrPar. }ti+Pno 1'l ac heron nn ..l .. i,,,n+; n n fi nno <br /> o e <br />to rla},P _ 'Tiq i n}Pnri to nnn }i nnp },n ~lco 1•hi c rod ni } f <br />a nn tho <br /> <br />ti ma hai n:r_ 4Pe. t+rnn l d 1 i k P fnr enm.P nnP frn~ ern+tr n{'fi nP to rnr~o <br />0 0 <br />nl]}. and l ncnP. !`}. nlin nl t Cn TTnll lrrl l l lrn nl~.! ++'ha }. nt1T nnPTa}. i nn i a <br />l <br />4i'• /LOCI <br />Signature <br />