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~, ~~~ ~IIIIIIIIIIIIIIIIIII <br /> <br />~ilp~ r 19g~ <br />Permittee Name: Tezak Construction Company ~ <br />Permit No: M-81-080 ~~~ ~ ~ L7ti <br />Operation Name: Tezak No 2 Pit REC~APbfAfEU~ t1[.% r <br />Anniversary Date: 05/27/89 nJl3iJlg,p~ <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: _ _ <br /> <br />~~ i <br />Signature <br />