Laserfiche WebLink
Permit No: 76-32 <br /> Anniversary Date: June 17 <br /> Operator: <br /> MINED LAND RE:.'LANIATIOes <br /> Please complete the following and return this form wCofoJINk (YWe e <br /> NAAU 0 ama- <br /> tion data. <br /> Enclosed are: (Check box(es)) <br /> Check or money order payable to Colorado Mined Land Reclama- <br /> Fx_x_1 tion Division for annual fees due <br /> Annual Report <br /> Map <br /> Remarks <br /> Signed, pQ <br />