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~ iii iiiiiiiiiiiuiii <br />Permittee Name: Frank i•I, Hewes <br />Permit No: M-73-314 <br />Operation Name: Hewes Pit <br />Anniversary Date: 11_22 <br />110 Enclosure <br />~~~~~~~' <br />DEC 3 1987 <br />MINEp LAND <br />t3~cI.AM~YIOR~ DWlr~~aly <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 <br />Remarks: <br /> <br />signature <br />(Rev. 02/87) <br />5257E <br />