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<br /> <br />110 and 111 Enclosure <br />Permittee Name: Hard Rock Paving <br />Permit No: M-77-196- <br />Operation Name: Hart Rok Suena Vista <br />Anniversary Date: 04 / 21 / 85 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~ Annual Report S.~- ~-E-a~-- <br />Remarks: <br /> <br />Signat <br />