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'~ <br />~~~~~~"' 112 Enclosure <br />- , ~a~ ~ ~ is8s <br />Permittee Name: Industrial Res Inc <br />Permit No: M-s3-19a- ~ MINED LAND RECL4~gATIOAI <br />Operation Name: IRI NAHCOLITE PROJ Colo. Dept.otP~~turalResources <br />Anniversary Date: O1 / 31 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />V Check or money order payable to Colorado Mined <br />Land Reclamation Division for annual fees due <br />Annual Report <br />Map <br />Remarks: ~~~,„, f //!- & 3 /9 '/ y~ s c,-„~mr,.~~ o,, <br />h n Cc ~ ~i .. ~ y C....~t B~-~ i ~i /Y•L ~ ~cl~ Cr12 S- f'E' <br /> <br /> <br /> <br />