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r <br />-r. <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Anthony Zellitti <br />M-80-246 <br />Zellitti Pit <br />02/28/89 <br /> <br />sss <br />11x0-~nclosu re <br />,•..~ <br />.. '- .~ <br />~, <br />~~ B ! ~ 1989 <br />- ~. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />- - - - ~ - Check or mo-ney order-payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />