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i- •- . <br /> <br /> <br />Permit ho: 76-gHR MENZER QUARRY <br />Anniversary Date: June 23 <br />~ iii iiiiiiiiiiiiiiii <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are <br />V <br />(Check box(es)) <br />Check or money order payable to Colorado t4ined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />hlap <br />Remarks: <br />i 'g j <br />.., i <br />L. Scott aenaricKs <br />