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' .= i~~ iiiiiiiiiiiu iii ~ <br />999 <br />Permittee hlame: Butala Construction Company <br />Operation Name: <br />Permit No: 77-170 <br />Anniversary Date: Ictober 1 <br />112 Attachment <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: {Check box{es)) <br />IXI <br />ICI <br />IX I <br />Remarks: <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />Map <br />SEP 31987 <br />MINED LANG <br />t3ECl.AMATION DIVISION <br />1987 permit <br />~' Sign <br />(Rev. 5/84) <br />Doc. No. 1805 <br />