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<br />r <br />~ i-a ~ <br />112 Enclosure <br />... <br />Permittee Name: Ted Zigan <br />Permit No: M-83-084- J!{ti_ 10 i986 <br />Operation Name: SNOWSTORM PLACER <br />Anniversary Date: 07 / 28 / 86 - <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />?C Annual Report <br />X Map <br />Remarks: <br />r <br />