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iii iiiiiiiiiiiiiiii <br />~~~~` L ~~[~' 110 Enclosure <br />r~ii Irv 1 '~- ' <br />. Permittee Name: Charles W Houchin FED 1 7 1987 ~ <br />Permit No: M-80-249 lfli+JeG ~(~~~ <br />Operation Name: Houchin Gravef~~~tq~,q~~~~p~~~s~p~ <br />Anniversary Date: 02/04!87 <br />i <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 />~. ~~ ~. ~ <br />~,~r~ <br />