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i <br />..: ; iii iii i iiiiiiiii iii <br />110 and 111 Enclosure <br />Permittee Name: Douglas Obannon <br />Permit No: M-80-201- <br />Operation Name: OBANNON PIT <br />Anniversary Date: 10 / 23 / 85 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) -- <br />~S'~.r•CL Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report <br />w ,. ~~ <br />E _,L - - - __ -- <br />1 1 //'' <br />/I,L v! .! ')7LZ // L ~~y.LtL ie r-~ v cLt_,C .~ ~.c.l ~ /~.C ~~, <br />li4.~ L l~- `L~ L ~ G <br />f= ,.~` <br />~! 7 <br />Signature ~ , <br /> <br />~a<cZIY~ <br />an, ~3°~` <br />Ff ~2. <br />J <br />Remarks: 2~~~ ~~~ti ~~~ . r~ ~.~. <br />