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<br /> <br />Permittee tJame: Dewitt Excavating <br />Permit No: M-83-132- <br />Operation Name: DEWITT EXCAVATING <br />Anniversary Date: 07 / 29 / 86 <br />• III IIII~IIIIIIII III <br />sss <br />110 and 111 Enclosure <br />,:~; <br />:j '. <br />,JU1 ~ ~ ~9'~., <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 />iz ..!!c. <br />Sig atur ~~~~ <br />7/3il~G <br />~.~ <br />r~ h <br />-4.G~e~~I,C~Gt1' ~/~lyf~l~iL/~t%7~ GG~/G~ <br />