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<br />w ~~r~v~~IIIIIIIIIIIIIIIIIII <br />8,~ 999 <br />APft ~,5 1990 111/112 Enclosure <br />nai~r~,., ,.AND <br />Permittee Name: Corn Construction Company <br />Permit No: M-83-013 ~Ip <br />Operation Name: Lathem - Burkett Pit ~ 2 <br />Anniversary Date: 04/28/90 //''99~ <br />Total: 5350.00 (Due on the Anniversary Date) ~3~Q / <br />Please return this form with your completed Annual Report, map, and a <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: ~~_~~ }},e ~5~yerr. <br />/vo n~n.rts of ffc ~~+, ~~tn 1"5 ~a ken f ~~ce 5 p~ <br />S~cckp~lec~ inole~~+I h*s siren rer,c~.•cr ~ror }l.e pr~.sss:n4. S• ~~, <br />Si gnatu 4-~~-So <br />~~ <br />