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y <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Eagle-Gypsum Limited <br />M-84-041 <br />Eagle-Gypsum Mine <br />12/24/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />x P4ap <br />Remarks: <br />Copies of the report and map are being sent to the BLM and the <br />Comunity Development Department of Eagle County. <br />' n ur <br />(06/88) <br />0054f <br />