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._ • iii iiiiiiiiiiiii iii <br />999 <br />• 110A Encl osure <br />Perini ttee Name: Potco Mng & Mi•~1 i n~~ ~ ~ ~; ~ ~ ~./ <br />Permit No: M-83-030 <br />Operation Name: Twin Canyon Mine AU G 2 3 1987 <br />Anniversary Date: 06/10/87 <br />AhINtD LAND <br />RECLAMA'~iQiV DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Xf _ <br />~~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual -fees due _ <br />,~ <br />l~ Annual Report <br />Rem~a7rks: (iUQ ``, /, ~ n ~I <br />(Rev. 02/87) y~- ~ <br />5257E n Q ~ - /~ - ~ 11,J~ L ~ y ~ eve'( <br />G~ CPS ~ ' <br />