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• <br />i <br />y <br />Permittee Name: Western Slope Construction Co. <br />Permit No: M-83-209 <br />Operation Name: Benton Dawson Gravel <br />Anniversary Date: 07/25/88 <br />110 Enclosure <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 />__-___ nivieinn fnr annual ape 5-due- -----~-- --- --- <br />Annual Report <br />(Rev. 06/88) <br />0052f <br />~~~~~ <br />JUL 27 1988 <br />MINER LF,iVU <br />RECLAMA71phl Ui'lISIC);d <br />_~.rlvo7` ~ .¢a~ s ~a its ~ .6P ryr..r~ ¢a K <br />