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<br />Permit No: 77-193 <br />Anniversary Date: November 22 <br />Operator: <br />Please complete the following and return this form with your fee=• and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br /> <br />Check or money order payable to Colorado Minec' Land <br />Reclamation Division for annual fees due <br />,Notice of Intent to Continue Mining Operations <br />Remarks <br />Signed, <br />