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r III IIIIIIIIIIIIIIII !~ <br />999 <br />~~ ~`° ~ ~~~ ~® 111/112 Enclosure <br />Permittee Name: Cooley Gravel Co FEg u¢1g8~ <br />Permit No: M-82-155 ~ Ml~~p-.AND <br />Operation Name: Christian Pit plVl~lp~ <br />Anniversary Date: 02/22/88 RECLAMA'~-~~ <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 />Annual Report <br />Map <br />Signature <br />(Rev. 02/87) <br />5257E <br />~)`' <br />