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.. <br />~IIIIIII~II~II~~II~ • ~~ <br />Notice of Int~~~~ ,... 999.....__ ..fining Operations <br />110 Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Total: <br />,~~~i <br />Downare Land Cattle <br />M-84-101 <br />Chaparral Meadows <br />08/13/90 <br />550,00 (Due on your Anniversary Da <br />Please return this form with your completed Annual Report and a cl <br />money order for annual fees due, payable to the Colorado Mined Lai <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~~ , <br />Signature <br />~~~~ <br />UL 1 3 199q <br />NFU 1.hiw~ <br />~p,Tinnt nnn~~~?r~ <br />K or <br />Reclamation <br /> <br />~/ <br />