Laserfiche WebLink
• <br />112 Enclosure <br />Permittee Name: Lakewood Brick and Tile Co. <br />Permit No: M-79-045 <br />Operation Name: Church Pit <br />Anniversary Date: 02 / 28 / 88 <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />X C~ Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />~~. Annual Report <br />XX Map <br />Remarks: <br />Sigr~,aCture Tk;sSnas Mul~y, VIP. <br />