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~~ ~ <br />~ ,~ <br />Permit No: 80-37 <br />Anniversary Date: October 1 <br />Operator: <br />~ iii iiiiiiiiiiiii iii <br />~~~~ <br />oor 2 ~ ~9sz <br />P~!NED LAND RECLC 4AAT7CiN <br />Ca!o. Dept. of ~!atura! nr>n~arce~ <br />Please complete the following and return t1•eis form with your fees and reclama- <br />tion data. <br />Enclosed_are.: _(~eckbnx/ec)l__. _ _._ ___ ___v .__ _ __ __ <br />Check or money order payable to Colorado Mined Land Reclama- <br />Q ti on Division for annual fees due SEE BELOW :: <br />Annual Report <br />Map <br />Remarks Please refer to permit amendment of ]-27-82 for the progress report <br />and no other work was initiated between that date and date of sale. <br />Permit fee will be submitted by new owners as soon as notice is received as to transfer. <br />New bonding has been submitted to the Reclamation Board. <br />h <br />t <br />l <br /> <br />Signed, <br />/ / x°'_07 7CL ~ ~ X~~I~Z~ <br />LEONA I. STUTE, CO-OWNER (NEW) <br />INGLESIDE QUARRY <br />4305 EAST HARMONY ROAD <br />FORT COLLINS, COLORADO 80525 <br />226-5387 <br />