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~ ~-. <br />~ iii iiiiiiiiiiiii iii <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: Colorado Lien Co <br />Operation Name: M-77-302 <br />Anniversary Date: Owl Canyon Ouarry <br /> 10/27/87 <br />Please complete the following and return this form with your fees ana <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money orde r payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />al R <br />ort <br />A '~~~~~~~~ <br />nnu <br />e p <br /> OCfi 9 ~ 1981 <br />Map <br />MINED LAND <br /> IiECLAMATiON pl'~~iS-QTl <br />Remarks: <br />(Rev. 02/87) <br />5257E <br />