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• <br />,. <br />~ iliiiiiiiiiii~i~~~~ <br /> <br /> . d <br /> _ 111 112 Enclosure <br /> ~°~ ~~ <br />~ <br />~ <br />Permittee Name: Ed Loloff Construction, Inc. i~ = <br />. <br />-~ <br />Permit No: 14-85-112 <br />Operation Name: Ed Loloff Const Inc. F ~ 1 ~ )?A~ <br />Anniversary Date: 02/04/89 <br /> rv i ':..: _ .. . . <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 />~~ Check or money order payable to Colorado Mined Land Re lamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: <br />~ _ _______~ __i r_._ L.__._ innn <br />~~ ~ <br />Signature <br />(06/88) <br />0054f <br />