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<br />110 and 111 Enclosure <br />Permittee Name: Joe Or Nancy Eccher <br />Permit No: <br />Operation Name: M-81-002- <br />Anniversary Date: MOUNTAIN VIEW PIT <br />07/15/86 <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 Co).or.--ado Mihed Land Reclamation <br />Division for annual fees due <br />Annual P.eport n JUI 1 ? 1986 <br />Remarks: ~`` /~2d~' L[OdS ~'y'tL$yE D ! ~5`T ~P4~ <br />~:.~., ~O `F.v ~ it LL7 IT 1-~ ~ ilA ~ /L S /.1P c~ T6 / L~+ i.l ~~ <br />Bn <br />~~ <br />~~ r ~~ _ <br />. ~ ~~~ <br />~~ n r •~" <br />rNN J ~~l <br />. i~ p/ -.-^/. <br />J ~ ~ <br />_ ~,; .y <br />Signatu <br /> <br />7//~/S"6 <br />°~,~ ~ <br />~~ ~~- <br />