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. ~-. - - ~ ~ Ill llllllllillliill <br />:._ , <br />112 Enclosure <br />Permittee Name: Andesite Rock Co <br />Permit No: M-77-141- <br />Operation Name: LYONS QUARRY <br />Anniversary Date: 12 / 29 / 85 <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 />Map <br />Remarks: ~,~.,~~ <br />g~~'ry• 'DES 2 71985 <br />'~"'~D W~n ~~Ti Aen. ~. _. <br />Natural Resources <br />Signature <br />~~ <br />1 <br />i <br />j <br />I <br />e . <br />~ ~ S <br />} <br />,- <br />. -- --_ _- -~z------~ <br />