Laserfiche WebLink
~~~•~ ~! III IIIIIIIIIIIIIIII <br />._ ~ 999 <br />f~~ 110 and 111 Enclosure <br />1- '~3= ~ <br />Permittee Name: Anthony Zellitti'' <br />Permit No: M-80-246- F~3 2, 0 +g85 <br />Operation Name: ZELLITTI PIT ;• .;~ <br />Anniversary Date: 02 / 28 / 86 -. -~ ". _ -~ <br />~ ~~~ 1~, <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 />~"=~' ~,~nnual Report - ,.. <br />' ~ ~` ~ ~aCP .._ .. _. <br />,N o nii <br />Remark§"• ~ ~ -~,~ <br /> <br /> <br />Signature <br /> <br /> <br />alai ~~6 <br />~ `~ . ~" <br />(~~ ~~ ~ <br />_: ~ <br /> <br />