Laserfiche WebLink
• i III IIIIIIIIIIIIIIII~ <br />~°~' <br />Permit No: 82-131 <br />Anniversary Date: September 20 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />i Enclosed are: (Check box(es)) <br />- Check or money order payable to Colorado hiined Land <br />~. Reclamation Division for annual fees due <br />Annual Report <br />Map <br />Remarks i','r ~-~,..-~ ~i-c~-., .C,._mfikc .~ ~~>«:Fz..~~•_ <br />., r < <br />/in . f /i i7>..rc ~ gyn. ~ ~~ti~. --o '~o -Cl-:. ~c ~ ~ his-r~(n~O.Gi_.~-.~k'.r~~ <br />~~ <br />Signed <br />Y~ t., `,.. ,_ .. , r,., <br />t~~a~'~ <br />SEP ~ U 1J83 <br />L"INFO LR^JD RFC! r,fvlATiON DIVISIOPJ <br />Gcio. Dept. of Natural Resources <br />