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<br />C <br />Permittee Name: <br />Operation Name: <br />~, III IIIIIIIIIIIII III <br />s`0 <br />110 and 111 Attachment <br />Holyoke Gun Club <br />RECEIVED <br />Permit No: 77-75 DEC 10 1Q®Q <br />Anniversary Date: September 97 <br />MINED LAN9 REt;LAMAfiION uivl~lON <br />Colo. Debt. of Natural Resources <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~-' Check or money order payable to Colorado Mined land <br />Reclamation Division for annual fees due <br />~=' Annual Report <br />Remarks: <br />L <br />// <br />'C/~. .~-~ <br />F Y <br />Y <br />] f~ <br />O .C l <br />i/ <br />~ ~1~.!/~ <br />~~i <br />/ <br />X/L-C <br />R ~ <br />~ <br /> , <br />' <br />__ <br />__ <br />// <br />/IA~Wf' ~ / <br />/~ <br />~ <br />~ ~ <br />l~:/~. /.'~W/ /~ <br />/ <br />' //~ <br />/ <br />- <br />- <br />y <br />A y <br />w-G <br />/~/L <br />~I <br />a <br />L <br />~ <br />~4 <br />p~~ <br />! <br />.e~i~~.~ ~ <br />/~Y <br />/ <br />// <br />.~A.~ <br />~j~ A ~ <br />/ <br />- <br />~~ <br />~ <br />~ <br />j <br />/ <br />~~~ <br />~ <br />y <br />. ~ <br />~ A/ /S/T...~r+. ~i~ ~-!/2!/L LS'/l Q~/fL(A~ <br /> <br /> <br />r <br />r ,~ / ~ / <br />~~ o~,~..e .Gam v~-~~, `7`„ <br />Signature ~ / <br />(Rev. 5/84) ~ Go ,~~..~ ~~, <br />Doc. No. 1782 <br />~'7 t ~~%~/~ Po ~d 7 `I' <br />~~ .S <br />icy 1Y <br />