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~~ I~II~~I~~IIIII~~I~~ <br />Permittee Name: Farnsworth Construction Co <br />Permit No: Pi-82-154 <br /> <br />110 Enclosure <br /> <br />Operation Name: Farnsworth Gr Pit 2 N ~~/ 3 9988 <br />Anniversary Date: 11/05/88 <br />Mli~'~b L :~!~ <br />Please complete the following and return this form with yo~uClfeles an~~~ ~IVISI();~! <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />-~~ -Check or money-order payab}e to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: ~ -~c a~~ -, ~~ /~,~~.,.~~~ ~ ,Q~.z>.. .,,J 7i~ /'rzr~„_~.e~ <br />-- <br /> <br /> <br /> <br />(Rev. 06/88) <br />0052f <br />