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~~ <br />111/112 Enclosure <br />Permit~~.ee Name: • <br />Permit No: Andersen Const"V~uction Company <br />Operation Name: M-80-156 - . <br />Anniversary Date: Midway Gravel Pit S `` <br />10/15/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />I <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Mdp <br />Remarks: Our office is working with Ann Baldridge to resolve some problems <br /> <br />with p ermit number P1-80-156 and permit number P1-80-086. A annual report <br /> <br />and ma p will be mailed to you as soon as possible. <br />i _~ <br />~~~~~ ~. <br />Signature <br />(Rev. 02/87) <br />5257E <br />