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<br />• • iii ~iiiiiiiiiiuiii <br />~O~r~e <br />_ ~i'~ ~ 11989 <br />Permi ttee Name: Wal senburg Sand & Gravel , Inc. ref,..; _C L _.,.ti; <br />Permit No: M-78-283 <br />Operation Name: Sand Arroyo [lECL4FRA-r~p,~ j_~•~~;,~~n; <br />Anniversary Date: 04/24/89 <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br /> <br /> <br />~, d <br />Signature <br />