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' 112 Attachment <br /> Permittee Name: Western Paving Construction Company <br /> Operation Name: STAGE COACH STOP PIT <br /> Permit No: 83=67 <br /> Anniversary Date: July 3 <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 /> 0 Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> Annual Report - See Remarks <br /> —� Map <br /> Remarks: Nn mining hats talrep place cn thir pF@p@F%y. We Ele net <br /> anticipate any mining for at least another year. Land use continues to be <br /> agricultural. <br /> Signature <br /> (Rev. 5/84) <br /> Doc. No. 1805 <br />