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. • iii iiiiiiiiiiiiiiii ~- <br />. 999 <br />Permit No: ]7-325 <br />Anniversary Date: November 22 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />y,}~ Check or money order payable to the Colorado Mined Land <br />Reclamation Division for annual fees due <br />-x;~- Annual Report <br />Remarks: <br />DURING 1982-1983 WE DID NOT DISTURB ANY TOP GROUND AT THIS MINE, WE HAVE ONLY <br />ME ING HERE IN THE UPCOMING <br />YEAR AND THE AREA TO BE AFFECTED WOULD BE LESS THAN ONE ACRE. <br />Sig <br />1 ~/ ~~ b'3 <br />Ohn, ~" <br />3 <br />-- Y rs pI'.PY\~~ .~o~~cepe\ <br />1 <br />~; ~ ~ <br />f <br />qq~ ~~ <br />~~~\, <br />.. ~~ ~ ~g0 <br />