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:. -. • ~ iiiiiiiiiiiiniiii~ <br /> <br />112 Enclosure <br />RECEfVED <br />Permittee Name: Lakewood Brick & Tile Company <br />Permit No: 79-45 FEB 151985 <br />Operation Name: Church Pit <br />Anniversary Date: February 28 MINED lANO RECLAMATION DIVISION <br />Cola Dept, nt Notural Resources <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 money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due $350.00. <br />Annual Report - See Remarks <br />Map Presently being updated as part of repermitting in <br />JEFFERSON COUNTY. <br />Remarks: An application for repermitting in Jefferson County is <br />in process. This permit should be resolved in the near future <br />at which time the MLRB permit will be ammended and updated. <br />-Sign <br />