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` ~, _ . _ • <br />~ iii iiiiiiiiuiiiiii <br />.- <br />Permit rvo: 77-302 (~ C C ~ J C <br />Anniversary Date: March 10 ' " ~ E~ V E D <br />MAR 1 ( 1982 <br />Ooerafor: <br />MINED LAND RECLAMATION <br />Please complete the following and return this form with QgierD~g~~~q~~~~;rCe.~ <br />lion data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Lana Reclama- <br />Q tion Division for annual fees due <br />Annual Report <br />Map <br />Remarks <br />Salww~4 c•ww,~ oi.l ~-c~?~-~fZ ('eC~et~~4' <br />i <br />n~«a ~,~ !- ~S-8 Z. <br />Signed, 7 ~s~~~"" "_ _~~ <br />