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<br />., <br />Notice of Intent to Continue Mining Opera4ioris_ ~ f ~,; ~:; <br />110 Annual Report a <br />r-, ~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Westhoff Farms <br />M-87-166 <br />Westhoff Farms <br />12/01/90 <br />~,. ~. , ,~ <br />E50.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />d~ ) ) a1 /S T ~ ~ ,~ Td~~J2~ ~ ~~ <br />T'Gv p ~'~? (~ ~'~ L ~ ~ 1 /?/ f oc'o " ~S'~e <br />Fl¢ZST orv~ ~_s ~4~o u T J~a~ ~'J~~pS ~o <br />~,<,~s ~ ~ ~S ~~C~SS 1z~ A ~ S. <br />S~~ p~r~ ~ ~~ ~5 ~~a U7~ I -~~~ b ~ ~(~ R DS <br />y= a ~ A d3 L nl S U 3 S T 1V ~T ! ~ vv ~ ,~ ~ ur z C~ <br />~~ No ~' ), r'o T1~ ~ r~ o JIE~ i S eci~7' <br />~~ 6U T ~ ~L F C.~~ ~ ~~' T ~a ~~~ 1 ~~~ <br /> <br />~~~ <br />Signature <br />If your address or phone number has changed within the past year please inform <br />this office below: <br />~\~~ <br />~~\ <br />