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<br />~ III IIIIIIIIIIIIIIII <br />999 <br />Permit No: 77-519 <br />Anniversary Date: Aueust 28 <br /> <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 />Check or money order payable to Colorado .Mined Land <br />Reclamation Division for annual fees due <br />r <br />Signed, ~~~~ ./~J `J2ZL~~ ~,~~yl~ <br />/~ <br />P'°6~~GE Y ~~ <br />OCT ~ 1 1982 <br />MINED LAND RECLAMATION <br />Colo. Dept. of Natural Resource <br />Notice of Intent to Continue ~yining Operations <br />