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I <br />~ • <br />•~ ----- <br />1111111111111lIIIII r <br />A I ass _ <br />PERMITTEE NAME: Skoglund Excavating Inc. <br />PERMIT NO.: M-96-089 <br />OPERATION NAME: Skoglund Pit <br />ANNNERSARY DATE: March 20, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Saguache <br />• <br />~ ~ <br />~ ~ <br />N <br />i~A`~ 1 C ~"r9 <br />Division of Miner4.- .. . <br />In order to ensure that our records are up to date, please attach your revised annual repots map and written <br />- report to this annual report. Note tiiat a written-reuori is not r.ecessar~ ii the nap addresses a:f-the - - <br />items listed in the attached instructions concerning minin>; disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />f/ sk lct~c P~~- <br />Contact Name: KC11ItG''~'{t ~ • J~ K©G~~ Company: ~ ~11.ty1G~ ~x~~l)(l~fl~~I~I C <br />AddMresns:: P~ /~~ d)C. ~Q~ Phone No.: ( CIS ~ a5b -4y'~/ ~ <br />I t tt/f'~Q'~"'r (-(~ ~,rC~~y ~ Fax No.: ( X19 1 o2Jr~ - 7~5~ <br />J <br />--- ~- - -- ~ - - - ~-- - -- - - t ~ . <br />5~.~nec~ ~%~ /fs Mn-Ininu nmalt.SSess- 'JI.tY i`D Nt.tnrNn~( A1Mtnuhi-~ IU.ettilKl <br />Signature of Corporate Officer, or Owner <br />3-1-95 <br />Daze <br />S1:~DN R M LN1 ASTERDU7-AF-01. <br />aMnu.r,~ n~. ~i'Rt boneP W]GS Set hir, " lU~ OOU• " 7/1AnPtcD /I trPa Of 7'fe l~~ <br />