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<br />Permittee Name: Cotter Corporation <br />Permit No: M-78-116- <br />Operation Name: SM-18 MINE <br />Anniversary Date: 10 / 30 / 85 <br />L_ ~ .._ <br />OCT 2 81985 <br />1 ~: re adll' "1 <br />Gi+10. DGyet Of ~t1'SFi~ hicSGSfC~:~ <br />112 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 />Division for annual fees due <br />/ Annual Report <br />Map <br />Remarks: <br />Signature <br />