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'' iii iiiitiiin~u iii <br />999 <br /> <br />110 and 111 Enclosure <br />Permittee Name: Western Slope Con Co <br />Permit No: M-83-209- <br />Operation Name: BENTON DAWSON GRAVEL <br />Anniversary Date: 07 / 25 / 85 <br />_r. _~, <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 <br />Annual Report <br />Re~~m^^arkyys--: ~~Da/7 /~ i!~ /-ri/ i/?E~.~uf / 7U ~aZc n~C~T .2~,• <br />..G/lF~h~ ~ IJ7 //'LP_i C~ llb` !a H ~G~~~'~/!'Y~ d~ ~ ~C^i<-P <br />y <br />~~5 ~ ~ <br />~G (2 <br />~- <br />~/~~zn~ ~~~g~~ <br />~~ ~~ ~ <br />/e7~~orfi /p /~7i/s~ ~uh.~ /Y,~e. ~•v,•o~idz~ <br />il'P ~1111r~CVf .~1. 9~--~- C/t!/O ~il.-a/'d b I~/•-br S~ '([~.~i r-~'.~i-~ <br /> <br />