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<br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br /> <br /> <br />Notice of Intent to Continue Mining Operat <br />110 Annual Report <br />John Dillon <br />M-86-165 <br />Willow Bend <br />08 /27 /90 <br />550.00 <br />?Fri <br />(Due on your Anniversary <br />~~~~~~ <br />UG2019q <br />nrv~u ~H~~U <br />NAT~~1~Ip~r"g~nc <br />~13~10~1 <br />$5~ uv <br />Please return this form with your completed Annual Report and a c eck or <br />money order for annual fees due, payable to the Colorado Mined La d Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />e'~Q~ ~..-Le~L`D V - ` . <br />~~ ~ ~~~~ <br /> <br />tgn ure <br />~~ <br />~G ~ <br />~~~~ <br />r~ ~~` <br />