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~. <br />112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Varra Companies Inc <br />M-80-002- <br />Tucker Aggregate Pit <br />04 / 27 / 85 <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 />Map <br />Remarks: n/p L~unui:,c5 ,rRn.y AR/o R_ V£AR . <br />Signature <br />