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., <br />112 Enclosure <br />Permittee Name: Sievers Ranch and Develop®ent Company <br />Permit No: M-77-98 <br />Operation Name: Sievers Ranch Pit <br />Anniversary Date: 06 / 30 / 86 <br />Please complete the following aIId return this form with your fees <br />and reclamation data. <br />Enclosed are: (Check epace(e) below) <br />~~ Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />~(~ Annual Report <br />~j}L Map <br />Remarks: <br />e <br />/~1~~. , /~.~ <br />Helen Bond <br />