Laserfiche WebLink
~ III IIIIIIIIIIIIIIII <br />~~y~a 999 <br />~RE C 111/112 Enclosure <br />;SAN 111988 <br />Permittee Name: Velma Frank ~ M~N~pI,A-JQ <br />Permit No: M-83-090 I.AMAY~~ p{V~~'~ON <br />Operation Name: La Poudre S & GR~n~ <br />Anniversary Date: 0'1/17/88 <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 />Map <br />Remarks: <br />~ r <br />Signature <br />(Rev. 02/87) <br />5257E <br />a~ ~ ~"~ <br />~ ~. <br />~ \~'~ <br />