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• <br />• iii iiii~iiii~iiiiii <br />999 <br />lll/712 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Robinson Brick Co <br />M-80-245 <br />Hogback Mine <br />02/10/87 <br />L S <br />FE8 X71987 <br />IJiINE.O LAND <br />(~iECLAPAATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Encl.oseA arec- (Check-space(s) beloW)- <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: Tj-FE l4a.vvoc. /~I~b~.T ~rc-~ tauor./ <br />a~f7~Y~ <br />ign ~ 9j ?'.n <br />~; ( G <br />~- <br />