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110 and 111 Enclosure <br /> Permittee Name: Flatiron Paving Company <br /> Permit No: 74-70 <br /> Operation Name: NELSON PIT <br /> Anniversary Date: February 7 <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check space(s) below) <br /> t / Check or money order payable to Colorado Mined Land Reclamation <br /> / Division for annual fees due <br /> Annual Report 4 <br /> Remarks: <br /> Signature <br />