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• i ~ <br />Permit No: 80-248 <br />Anniversary Date: <br />Operator: <br />February 4 <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 Ffined Land <br />® Reclamation Division for annual fees due <br />Notice of Intent to Continue .Mining Operations <br />