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~ • <br />Permittee Name: Horn Ranches, Inc. <br />Operation Name: HORN GRAVEL PIT <br />Permit No: 83-102 <br />Anniversary Date: August 2 <br />• <br />110 and 111 Attachment <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />I_I Annual Report <br />c~ <br />(Rev. 5/84) <br />Doc. No. 1782 <br />