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<br />i <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />• ~~1 I~~~I~II~~~~~ I~~ <br />B & G Stone <br />M-87-092 <br />B & G Stone <br />08/25/89 <br /> <br />~~~~~~ TI~Enclosure <br />AU G 81989 <br />MINED LAND <br />RECLAMATION D-VISiON <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br /> <br />.~~ <br />~ ~~~ ~, ~ <br />~~~ . <br />~2 .~.~z° ~~~ G~~~~ <br />~~/ <br />.~a ~~ p~~~-~~~ <br />~~~~o <br />~!~ <br />~ignature <br />