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v 4 . <br />• <br />~, <br />~su.~~~~5~111/112 Enclosure <br />Permittee Name: Cotter Corp. F 2 $ 1987 <br />M-77-300 S~ <br />Permit No: <br />Operation Name: Schwartzwalder Mtht>/ yM1 / <br />Anniversary Date: 09/28/87 !?EC! AMA7!ON pIN1510N <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />V Map <br />Remarks: <br />(Rev. 02/87) <br />5257E <br />