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<br /> <br />- - ~I~ II~III~I~I~~~ ~~~ <br />Permittee Name: Downare Land Cattle <br />Permit No: M-84-101- <br />Operation Name: Chaparral Meadows <br />Anniversary Date: 08 / 13 / 86 <br />sss <br />110 and'111 nclosure <br /> <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 Reclam <br />~" Division for annual fees due <br />Annual Report <br />Remarks: <br />on <br />'1 ~ab'~8g~ ,~~,~c <br />~(C <br />