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<br />III IIIIIIIIIIII I <br />IIII <br /> <br /> er;F. • ~- ~0 and 11 Enclosure <br /> <br />Permittee Name: Downare Land Cattle A~~ ~ ~ jC~•~ <br />Permit No: M-84-101- <br />Operation Name: CHAPARRAL MEADOWS ;~,;:: ; _~,,;,, <br />Anniversary Date: 08 / 13 / 85 „cCL6?i.°.!. -;'I;:~da ViV.'~:^il <br />Please complete t he following and return this form with your fees nd <br />reclamation data. <br />Enclosed are: (C heck space(s) below) <br />Check or money order payable to Colorado Mined Land Recl amation <br />Divisi on for annual fees due <br />Annual Report <br />1 <br />/ <br />Remarks: 6C t, Gc'Z ~ G°'1l ~ <br />G~~R ~ i ~ ~lLi <br />r <br />_ <br />~ <br /> <br /> <br />~ <br />' ~ <br />t Ll~dh. ~~Y c <br />4 <br /> <br /> <br /> <br /> <br /> <br />~ ~~z ~ ~ c~.~~ ~8. <br />~7~, 8 ~ 3 0 <br />~~ t 7~n.c,G ~) <br />~ <br />Si nature ~- <br /> ~~ <br /> <br /> <br />~~ <br />~~ <br />~• <br />(~ <br />