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.~ <br /> <br />110 and ill Enclosure <br />Permittee Name: Qreese t~a;in kcc'r,, ;n~, <br />Permit No: IIO-248 <br />Operation Name: LYONS P1T N0. 2 <br />Anniversary Date: Februa,-y ~l <br />Please complete the following ar~~' ret+nn this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s~ ;,eloa,) <br />Check or money order p~+yahle tc Col:n-ado Nireu Land Reclamation <br />~/ Division for annual fees due <br />Annual Report <br /> <br />8'Sgnature ^ <br />~~ <br /> <br />Remarks : /. 1 O `: /,% ~ .'~ ~ o..i ; , _~ ,.~ ~ Y ti? r . " ~/- ;, <br />