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• • iiiiuiiiiiiiiuiii <br />999 <br />r-~~`' ~ ' - 111/112 Enclosure <br />a J <br />Fr 4 3 i9P9 <br />Permittee Name: Herman Rother ,,- <br />Permit No: t4-85-173 "'~' .` '- <br />Operation Name: ROTHER GRAVEL R}~C~~~''~~' ~~ ~^ -' ~~ <br />Anniversary Date: 02/03/89 <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 Colorado tdined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />t4ap / /J <br />Remarks: vji1S' 0%P., I.Oi~ y741' Pp c, <br />y ~ ~ ~ _ / <br />,1,~/, 'flc ~Ua~r G,e~.~, ~~'enG ~~/.~G iJ' <br />~fL.~ .Ia -~ , <br /> <br />Signature <br />(06/88) <br />0054f <br />