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• ~~~~ <br />ANNUAL REPORT ~~, <br />PERMITTEE NAME: Mountain Region Corporation <br />PERMIT NO.: M-95-005 <br />OPERATION NAME: Orchard Mesa Aggr RECEIVED <br />ANNIVERSARY DATE: February 16, 1999 MAR 0 3 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 Divis~onofMineralsls<Geology <br />COUNTY: IVlesa <br />~~z~ <br />aei~~l <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the rnau-addresses ail the items listed iri the attached-instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and repots were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />>af CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Company: <br />Address:: Phone No., <br />Fax No.: <br /> <br />1 <br />~ Signature of Corporate Office , or Owner <br />1 <br />1 <br />M11:~DNHM1ILV.IASTERDV.1 AF~01 <br />hldee~~ ~• ~ `f <br />Date <br />