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<br />~~I IIIII~II~"~~ II~ <br />999 <br />Permi ttee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Bear River Sand & Gravel <br />M-86-040 <br />Bear River S & G <br />11/20/89 <br />111/112 Enclosure <br />NOV 3 0 1989 <br />MINED LAl~ll <br />RECI_AMIATION DIYI~IOP~I <br />Please return this form with .your completed Annual Report, map, and a <br />check or money order for annual fees due, pa.vable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: J lJ ~~ <br />. ~~~~ <br />C-'r ~a v ~* ~ ~~~ C~ <br />Si ana ture <br />