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• <br />999 <br />ANN UA1, xli,rvn i' <br />PERMITTEE NAME: Western Slope Flagstone <br />PERMIT NO.: M-96-076 <br />OPERATION NAME: Western Slope Flagstone Quarry No. 2 <br />ANNNERSARY DATE: April 16, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Mesa <br />~ ~~~~~ <br />P~ yo3~; <br />DECEIVE.; ; <br />MACZ O1 X999 <br />~7w~s!on of Minerals & V....uy <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerning mining uisturbance and reclamation uudate. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />~G(c~y ~UhTC11I4Yi <br />Contact Name: 9,~rs Tc-~ n~ .~ ~pQw ~/.t : c *~t,~Company: A/nSTr~~n~ SIG d'c f iC{~; •7~ )~; <br />Address:: ,~31.o r 3%: JI'd /{7. ~ <br />Phone No.: ( ~'% ) ~ U-' ~ %9~' a- <br /> <br />Comments:: <br />Fax <br />' -~°--- <br />,l Got fr - : ~.GifiioGS <br />Signature of Corporate Officer, or Owner <br />Date <br />.~ .: <br />M:~DNRAILU1ASl ERDN1 AF-01 <br />