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~~' J <br />b~ ~ <br /> <br />r <br />III IIIIIIIIIIIII III <br />sss <br /> 11 ~r~psure <br />~~ ~•/ <br />Rocky Road Investments ~ <br />Permittee Name: M-85-210 <br />P <br />i <br />N <br />~ <br />~ga~ <br />erm <br />t <br />o: <br />Operation Name: Rocky Road Quarry 5 pN 2 <br />Anniversary Date 01~27~87 <br />M1N S LANG N <br />p1VIS1O <br />~AA ON <br />~EGLA <br />Please complete the following and return this form with your fee and <br />reclamation data. <br />c~iC i05eu ai'e: iCheck spSCri ~) beiuw) <br />Check or money order payable to Colorado Mined Land R clamation <br />Division for annual fees due <br />7 ice'/ei/~ ~v ~o~ ~^"'e. <br />Annual Re <br />ort - ~~ is ~ ape <br />~,.~~"' <br />m <br />p ~ <br />ronJ <br />