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. ~ • <br />' III IIIIII~IIIIIIIII 110 Enclosure <br /> <br />Permittee Name: Dewitt Excavating <br />Permit No: M-83-132 :., <br />Operation Name: Dewitt Excajsg <br />Anniversary Date: O1j29/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enc'los/ed are: (Check space(s) below) <br />(/ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />C/ Annual Report <br /> <br /> <br />irr ~~ <br />Signature <br />(Rev. 06/88) <br />0052f <br />~~~~~ <br />AU G 31988 <br />INiNt=D LAND <br />I~ECLA1VlATION 011115101) <br />Rema-'I:s:~~c~fif,~ Glr~u ,,~~ /~v ~~ i~!~%r~t~~ l~N~/'-t'om'`, <br />