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r • • III IIIIIIIII IIII III <br />1 <br />Permittee Name: Breeze Basin Rock Inc <br />Permit No: M-80-248 <br />Operation Name: L ons Pit No 2 <br />Anniversary Date: 02/04/87 <br />(' 10 Enclosure <br />~~„ i_..il y l~J <br />~1~ <<,~ r.~, .. ..,. '- <br />FEQ ?31987 <br />!lit~cD LFifJD <br />[~te.GLAFfATfOhI QiViSiOi~i <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 />a,~ a..3~ 8` 7 <br />~ ~• <br />r `~ <br />