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~~ <br /> <br /> <br />110 Enclosure <br />Permittee Name: Southwest Properties <br />Permit No: M-81••158 <br />Operation Name: Forest Lakes Pit #1 <br />Anniversary Date O1/2ti/87 <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 Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />// I , ~ ~y <br />o~/ f~7,~3 <„~// 2O ~`.-. ~/.A~~ ~/ ,., ~/L7i .TT ~li, > ,li d~~ <br />3•-, d i ~ J/n 1NC r~,~c//< .~/i..JC nrrr s /cc., ~/ C~2 /P car,'c !}~r~ f ?c~ <br />CE'r..v v ~ n Y ~~ P~ /~ ~ ~ 1:.:~r ~, t > ti.- ~.e~ n~ ~ af/ce,~. vtv1 ~r <br />-y-/ ~ / n, r.-~,.iq <br />/ /Cn .-..c G7 G S _~ ~ it r. ~ „ , rl /~R : /~....~r,.~ ~~ i c, ~% ~{~ ./ <br />Signature <br />~. <br />_ r <br />J f- ~' <br />~F~.. _ <br />JAN 201987 <br />Ev.: -~ ~ ~ qtr if"~t- <br />~%' !~ <br />