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.- ~ • <br />~~ 5 ~~ <br />7~ <br />Permit No: 77-522 <br />Anniversary Date: March 23 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />- Annual Report <br />Map <br />Remarrks We/ ,luf ~'IOt ~-haniry'~ -J~Ln~ ~~~~- ~~. i~ p,P r.~ <br />/90 3 T.N1.!Y a.C~ d-~ ~I,a-t ~/Y~T._,~wa4~.,~9/I~X.~,,, <br />,~fr4 "~t~ ~r/ ixc'.t itQ (,t/Lr.~ ~}z~n/,.ecl _.~ zc-a_, <br />,~liCvn_ ~rnx Ct.C2Z ~ ~~ !~ u.P11 7'/,B-7` ~L-~-- <br /> <br />h~~.( ::i 1~~,-I <br />Ceic. v yi. ~ ..;c~ai icrource; <br />