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<br /> <br />Company: <br />ANNUAL REPORT <br />PERMITTEE NAME: Jelen & Son Inc <br />PERMIT NO.: M-83-011 RECEIVED <br />OPERATION NAME: Willow Creek Mine* <br />• ,~~~~ <br />FEB 2 3 1999 <br />ANNNERSARY DATE: February 23, 1999 DiviSionotMinetals&lie~otopy <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Lake <br />~~ ~~ <br />~~ <br />Please cttxh to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annua] Report instntctions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />~' CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: `1 fT_~~+~C~ `L <br />Address:: (3 0 ~ / 0 3 <br />~ ~^ S iL~e 7a c ~' ~L'd <br />.fie /pmt ,~ S ~ ry <br />Phone No.: (3o Z) R R k- 2 S o "7 <br />Fax No.: <br />~~~,. c <br />h <br />Conunenis;: <br />S ~ f ~ C,tl °` S ~' die ~4 5 7~ ~ p ~ ~ _-. <br />~~-~iG-- <br />~-Z3-91 <br />Signature of Corporate Officer, or Owner Date <br />