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~-= r,- • ~ IIIIII1111111111111 <br />~, <br />111/112 Enclosure <br />Permittee Name: Andesite Rock Company ~~ C~ ~ ~ /~® <br />Permit No: M-77-741 M <br />Operation Name: Lyons Quarry ~ E ~ <br />Anniversary Date: 12/29/89 '~ G ~98g <br />Please return this form with your completed Annual Report,Rmap, ~d ~ ~~ D ~ SlpN <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br /> <br /> <br />~~~~» r7~~/ ,~~ / f~ T/~ ~ ~~~o <br />~ ~~~ <br />Signature <br />