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.. <br />-~ ; - <br /> <br />Permit No: 80-246 <br />Anniversary Date: February 28 <br /> <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 />- Check or money order payable to the Colorado Mined Land <br />- Reclamation Division for annual fees due <br />Annual Report <br />X (see below) <br />Remarks: Strr ;lurk ma axial ;s s ;11 oca ed on the site. [9e horr <br />to be able to use the material this sunnier. We have not crushed material <br />on the site since 1981. <br /> <br />PUEBLO PAVING, INC. <br /> <br />Signature- <br />