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.... <br />• <br />Permit No: 77-321 NATIVE <br />Anniversary Date: February 17 <br />Operator: <br />~ III IIIIIIIIIIIII III <br />~~~~A~~~ <br />APR ~ % 198 <br />M) ~o o Dept of NaturallResourlc;esotl <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are <br />XX <br />xx <br />Remarks: <br />(Check box(es)) <br />Check or money order payable to the Colorado Ptined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />A.) Land affected during 6th year - ; acre. <br />B). Land anticipated to be disturbed during the next year is 1/8 to 1/4 acre. <br />C). No land was reclaimed during the last year. <br />T[IE S[)rM7IT BRICK & TILE COMPANY <br /> <br />s; <br />Joseph C. Welte <br />~/~d ~~ <br />Glr . ~ . <br />y~- <br />