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~- • <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Vida S. Solberg <br />M-81-044 <br />Jens 0 Solberg Pit <br />04/07/89 <br />110 Enclosure <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Signature <br />~~~~ ~, , <br />~N~~ ' '~ ~~'~~ <br />arc" ~ ~~ ~,`'I t J089 <br />o,~, <br />~1j ~~J/~ 1 <br />