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' ~ III IIIIIIIIIIIII III ~ <br />999 <br />110 and 111 Enclosure <br />Permittee Name: Potco Mng & Milling ' <br />Permit No; M-83-030- - <br />Operation Name: Twin Canyon Mine <br />Anniversary Date: 06 / 10 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />- Enclosed are: (Check space(-s)-below) - - - - - - <br />/ ~~ <br />y Check or money order payable to Colorado Mined Land Reclamation .S °, <br />Division for annual fees due <br />_~ Annual Report <br />Remarks: ~it~ IL (d/L (' ~ ~ ~ <br /> <br />Signature <br />~~// \ <br />l~d~ <br />(~~clvcS S <br />G~61^~ <br />~, ~-~ <br />8'((~1~ <br />~~ ~~ <br />